ACCESS® 2 IMMUNOASSAY SYSTEM
Report
- Report Number
- 2122870-2010-00463
- Event Type
- Malfunction
- Date Received
- August 20, 2010
- Date of Event
- July 27, 2010
- Report Date
- August 20, 2010
- Manufacturer
- BECKMAN COULTER INC.
- Product Code
- MMI
- PMA / PMN Number
- K922823/A007
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
SAMPLES WERE COLLECTED IN PLASTIC SERUM TUBES WITH A GEL SEPARATOR. PER CUSTOMER, THE SAMPLES ARE NOT "HELD FOR CLOTTING". THE SAMPLES ARE ONLY ALLOWED TO CLOT IN-BETWEEN THE TIME THE SAMPLE IS DRAWN AND THE TIME THE SAMPLE IS RECEIVED IN THE LAB. QC WAS WITHIN THE ESTABLISHED RANGES PRIOR TO AND AFTER THE EVENT. A SYSTEM CHECK PERFORMED ON (B)(6) 2010 PASSED WITHIN INSTRUMENT SPECIFICATIONS. A FIELD SERVICE ENGINEER (FSE) WAS ON-SITE AND PERFORMED TROUBLESHOOTING AND THEN PERFORMED SYSTEM CHECK AND QC WHICH ALL PASSED WITHIN INSTRUMENT SPECIFICATIONS. ALTHOUGH SAMPLE HANDLING ISSUES MAY HAVE BEEN A CONTRIBUTING FACTOR, A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED TO DATE.
A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING ERRONEOUSLY ELEVATED TROPONIN (ACCUTNI) RESULTS GENERATED BY THE ACCESS 2 IMMUNOASSAY SYSTEM. SUBSEQUENT TESTING PRODUCED RESULTS WITHIN THE RISK STRATIFICATION RANGE. NO REPORTS OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT HAVE BEEN REPORTED IN CONNECTION WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACCESS® 2 IMMUNOASSAY SYSTEM | DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER | MMI | BECKMAN COULTER INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |