NAVIOS FLOW CYTOMETER SYSTEM A52103

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2015-09-17 for NAVIOS FLOW CYTOMETER SYSTEM A52103 manufactured by Beckman Coulter Ireland.

Event Text Entries

[26112208] A field service engineer (fse) evaluated the gallios instrument on 09/02/2015. The fse ran the sheath pressure test in cytotools and saw slow reaction times to changes in sheath pressure with an external marsh gauge. The fse replaced the sheath pressure regulator to resolve the issue. Subsequent testing was within specification. The beckman coulter internal identifier for this report is (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[26112209] The customer reported receiving sheath pressure error messages on a gallios flow cytometer system. While troubleshooting the event with the guidance of customer technical support (cts) over the phone, the customer was splashed on the face and arm with sheath fluid. The customer was wearing personal protective equipment (ppe) consisting of laboratory coat and gloves at the time of the event and there was no report of injury or biohazard exposure to open wounds or mucous membranes. The customer did not seek medical attention following the event. The cts representative directed the customer to wash the affected areas thoroughly with water. Erroneous patient results were not generated and there was no change or effect to patient treatment in connection to the event. There was no impact to patient results and controls. This event occurred on the gallios device, which is marketed for research use only (ruo). This report is being filed for similar device, the navios flow cytometer system.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1061932-2015-01459
MDR Report Key5084978
Report SourceUSER FACILITY
Date Received2015-09-17
Date of Report2015-08-31
Date of Event2015-08-31
Date Mfgr Received2015-08-31
Device Manufacturer Date2010-12-01
Date Added to Maude2015-09-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. MIRANDA HOLLAND
Manufacturer Street11800 SW 147TH AVENUE, 32-S08
Manufacturer CityMIAMI FL 331962031
Manufacturer CountryUS
Manufacturer Postal331962031
Manufacturer Phone3053802031
Manufacturer G1BECKMAN COULTER
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameNAVIOS FLOW CYTOMETER SYSTEM
Generic NameFLOW CYTOMETRIC REAGENTS AND ACCESSORIES
Product CodeOYE
Date Received2015-09-17
Model NumberNA
Catalog NumberA52103
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER IRELAND
Manufacturer AddressLISMEEHAN O'CALLAGHAN'S MILLS, COUNTY CLARE EI


Patients

Patient NumberTreatmentOutcomeDate
10 2015-09-17

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