FREEDOM EVO 30020020

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-26 for FREEDOM EVO 30020020 manufactured by Tecan Schweiz Ag.

Event Text Entries

[44477156] A tecan field service engineer (fse) was on site on (b)(6) 2016 to check the instrument. The fse inspected the device and identified that the tension on the y-belt on the pipetting arm is less than required. The belt appeared worn and beginning to fray. Fse replaced the affected arm. The issue has since not reoccurred on the new arm. The complaint did not lead to death or serious deterioration of health of a user or a patient. The device is used for research use only and not for clinical diagnostic testing. No results were released to the physician or the patient. No similar reports of faulty pipetting due to loose y-belt on the pipetting arm were previously reported to tecan. The manufacturer's investigation to determine the root cause is ongoing. A follow up report will be provided to the fda when further information is known.
Patient Sequence No: 1, Text Type: N, H10


[44477157] The customer reported to tecan on (b)(6) 2016 that the pipetting arm on tecan freedom evo instrument pipetted into a wrong well of a 384 microplate. The complaint did not lead to death or serious deterioration of health of a user or a patient. The instrument is used for research use only and not for clinical diagnostic testing. No results were released to the physician or the patient.
Patient Sequence No: 1, Text Type: D, B5


[60339172] Root cause investigation included: review of service event where arm was replaced on (b)(6) 2016; review of service and complaint history for the instrument; review of the manufacturing history of the arm and associated repair records; review of usage history vs. Module life-expectancy; attempts to reproduce the problem observed. Conclusions: tecan was unable to reproduce the issue when testing an arm with y belt tension out of specification. Lifetime results for the y belt were reviewed and found acceptable with no issues noted. Internal tests were conducted to evaluate and try to reproduce the stress profile of the y-belt. The maintenance and manufacturing history were found acceptable and within specification. This issue is considered an isolated event. A review of complaint data indicates no similar occurrences of pipetting issues due to y-belt. Tecan will continue to monitor complaint trends. The customer has no additional occurrences.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3003402518-2016-00002
MDR Report Key5608280
Date Received2016-04-26
Date of Report2016-11-08
Date of Event2016-03-28
Date Mfgr Received2016-03-28
Date Added to Maude2016-04-26
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 ContactMRS. BARBARA JERONCIC
Manufacturer StreetSEESTRASSE 103
Manufacturer CityMAENNEDORF, 8708
Manufacturer CountrySZ
Manufacturer Postal8708
Manufacturer Phone1449228487
Manufacturer G1TECAN SCHWEIZ AG
Manufacturer StreetSEESTRASSE 103
Manufacturer CityMAENNEDORF, 8708
Manufacturer CountrySZ
Manufacturer Postal Code8708
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFREEDOM EVO
Generic NameFREEDOM EVO 200
Product CodeJQW
Date Received2016-04-26
Model Number30020020
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTECAN SCHWEIZ AG
Manufacturer AddressSEESTRASSE 103 MAENNEDORF, 8708 SZ 8708


Patients

Patient NumberTreatmentOutcomeDate
10 2016-04-26

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