ICHEM? VELOCITY? AUTOMATED URINE CHEMISTRY SYSTEM 2.5 ICHEM VELOCITY INSTRUMENT COMPUTERLESS BRING U 700-7177-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2019-10-14 for ICHEM? VELOCITY? AUTOMATED URINE CHEMISTRY SYSTEM 2.5 ICHEM VELOCITY INSTRUMENT COMPUTERLESS BRING U 700-7177-001 manufactured by Beckman Coulter.

Event Text Entries

[162243100] The fse replaced the pc6 and conducted unrelated preventive maintenance, the system was left fully operational. The fse was contacted and confirmed that the computer was not opened by them to assess the extent of the damage. The fse is arranging the return of the pc6 to beckman coulter for evaluation. Investigation is ongoing. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[162243101] The customer reported that was a fire in the computer tower for their iricell system. The iricell is composed of an ichem? Velocity? Automated urine chemistry system and an iq 200 urine analyzer. On 16-sep-2019, the customer called customer technical support (cts) to report that their iricell system pc6 computer caught fire and the fire department was called. The pc6 is used for both the ichem velocity and iq200 instruments. The customer confirmed that there was no injury to any laboratory personnel and that the lab did not suffer any damage as a result of the alleged fire. The customer stated to the field service engineer (fse) that the pc6 had caught fire internally and that it was blowing sparks/fire out of the fans and vents and that there was no damage observed as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2122870-2019-01122
MDR Report Key9188461
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2019-10-14
Date of Report2019-10-14
Date of Event2019-09-16
Date Mfgr Received2019-09-16
Date Added to Maude2019-10-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. LAURIE O'RIORDAN
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 331962031
Manufacturer CountryUS
Manufacturer Postal331962031
Manufacturer Phone3053802874
Manufacturer G1BECKMAN COULTER
Manufacturer Street1000 LAKE HAZELTINE DR.
Manufacturer CityCHASKA MN 55318
Manufacturer CountryUS
Manufacturer Postal Code55318
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameICHEM? VELOCITY? AUTOMATED URINE CHEMISTRY SYSTEM
Generic NameAUTOMATED URINALYSIS SYSTEM
Product CodeKQO
Date Received2019-10-14
Model Number2.5 ICHEM VELOCITY INSTRUMENT COMPUTERLESS BRING U
Catalog Number700-7177-001
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer AddressLISMEEHAN O'CALLAGHAN'S MILLS/CO CLARE EI


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-14

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