SYSMEX UF-1000I, AUTOMATED URINE PARTICLE ANALYZER WITH URINALYSIS WAM SOFTWARE 05366719

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-14 for SYSMEX UF-1000I, AUTOMATED URINE PARTICLE ANALYZER WITH URINALYSIS WAM SOFTWARE 05366719 manufactured by Sysmex Corporation.

Event Text Entries

[137420840] The sysmex uf-1000i instructions for use (ifu), warns the user: "should the instrument emit any unusual odors or smoke, turn the main switch off immediately and unplug the power cable. Contact sysmex technical representative. Using the instrument any further bears the risk of fire, electrical shock or personal injury". The user appropriately contacted siemens healthcare diagnostics upon noticing the burning odor. The wiring cord is made of flame resistant materials, but excessive heat from a malfunction poses a risk of inhalation of smoke and/or harmful vapors from scorched materials. The wiring cord is not accessible to the user, reducing potential harm. The wiring cord connects the fixed barcode reader to the i/o controller (b)(4). The maximum voltage traveling through the wiring cord is 5v. The low voltage reduces the potential for shock. No user harm incurred. The fse removed the wiring cord and replaced the tubing to resolve the issue. The wiring cord was not available for further investigation. It was determined a short circuit occurred but root cause of the short circuit (damage to the cord and tubing) was undetermined.
Patient Sequence No: 1, Text Type: N, H10


[137420841] The user contacted siemens healthcare diagnostics reporting a burning odor emanating from the analyzer. The siemens representative instructed the user to power off and unplug the analyzer. The user reported the burning odor was eliminated after the analyzer was powered off. A siemens field service engineer (fse) was dispatched and found wiring cord 3735 and surrounding tubing was burnt. No smoke or open fire was observed. No users sought medical attention due to the burning odor. No user or patient harm incurred.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1000515253-2019-00007
MDR Report Key8341102
Date Received2019-02-14
Date of Report2019-02-14
Date of Event2019-01-12
Date Mfgr Received2019-01-16
Device Manufacturer Date2014-05-12
Date Added to Maude2019-02-14
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. JASNA FRONTZ
Manufacturer Street577 APTAKISIC RD
Manufacturer CityLINCOLNSHIRE IL 60069
Manufacturer CountryUS
Manufacturer Postal60069
Manufacturer Phone2245439753
Manufacturer G1SYSMEX CORPORATION
Manufacturer Street314-2 KITANO NOGUCHI-CHO
Manufacturer CityKAKOGAWA, HYOGO 675-0011
Manufacturer CountryJA
Manufacturer Postal Code675-0011
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSYSMEX UF-1000I, AUTOMATED URINE PARTICLE ANALYZER WITH URINALYSIS WAM SOFTWARE
Generic NameAUTOMATED URINE PARTICLE ANALYZER
Product CodeLKM
Date Received2019-02-14
Model NumberUF-1000I
Catalog Number05366719
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYSMEX CORPORATION
Manufacturer Address314-2 KITANO NOGUCHI-CHO KAKOGAWA, HYOGO 675-0011 JA 675-0011


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-14

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