inforMED
MalfunctionPER

PREPPLUS 2 WORKSTATION

Received Mar 10, 2021 · Event occurred Feb 18, 2021

Report 1061932-2021-00031 · MDR key 11453238

Device

Generic name

Automated Pipetting, Diluting Specimen Processing For Flow Cytometric Analysis

Manufacturer

Beckman Coulter

Catalog number

378600

Lot number

80426939

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE FIELD SERVICE ENGINEER (FSE) WAS AT THE CUSTOMER SITE AND CONFIRMED WHAT THE CUSTOMER HAD REPORTED. THERE WAS NO MALFUNCTION OF THE NAVIOS FLOW CYTOMETRY INSTRUMENT, THE MALFUNCTION OCCURRED ON THE PREP PLUS 2 SAMPLE HANDLING DEVICE THAT WAS PREPARING THE SAMPLE FOR TESTING. THE FSE OBSERVED THAT THE PREP PLUS 2 HAD A BENT NEEDLE THE NEEDLE WOULD HIT AND TWIST SLIGHTLY AT THE BOTTOM OF THE ANTIBODIES, AND WOULD RUB SIGNIFICANTLY IN THE WASH STATION. SAMPLES WERE NOT BEING PREPARED CORRECTLY FOR TESTING. TO RESOLVE THE ISSUE THE FSE REPLACED THE NEEDLE. BEC INTERNAL IDENTIFIER CASE (B)(4).

Description of Event or Problem

THE CUSTOMER REPORTED COMPENSATION CONCERNS ON SAMPLES RUN ON THEIR NAVIOS FLOW CYTOMETRY INSTRUMENT PART NUMBER B47905, SERIAL NUMBER (B)(4). IT IS UNKNOWN HOW MANY PATIENTS WERE IMPACTED. THE INFORMATION AND DATA WAS REQUESTED FROM THE CUSTOMER BUT THEY WERE NOT ABLE TO PROVIDE SPECIFIC INFORMATION OR DATA. THERE WAS NO REPORT OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT AS A RESULT OF THIS EVENT.