FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY ANALYZER

MDR report key: 1823131 · Received September 1, 2010

Report

Report Number
2122870-2010-00500
Event Type
Malfunction
Date Received
September 1, 2010
Date of Event
July 5, 2010
Report Date
September 1, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
LGD
PMA / PMN Number
K922823/A007
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES ARE SERUM. CENTRIFUGATION INFORMATION WAS NOT SUPPLIED. QC PRIOR TO AND AFTER THE EVENT WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. CUSTOMER PRODUCT LINE SUPPORT (CPLS) TESTED THE PATIENT SAMPLES BUT COULD NOT REPRODUCE THE CUSTOMER'S RESULTS. THE RESULTS WERE NON-REACTIVE ON TOXO IGG ASSAY. A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED. CPLS TESTED THE SAMPLES.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUSLY REACTIVE TOXO IGG RESULTS ON TWO PATIENT SAMPLES GENERATED BY ACCESS 2 IMMUNOASSAY ANALYZER. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE REPEAT TESTS ON THE SAME INSTRUMENT AND AN ALTERNATE METHOD RESULTED AS NON-REACTIVE. NO DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT HAS BEEN REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS® 2 IMMUNOASSAY ANALYZER DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER LGD BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1