FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 1810530 · Received August 20, 2010

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

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

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