FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY ANALYZER

MDR report key: 1823132 · Received September 1, 2010

Report

Report Number
2122870-2010-00504
Event Type
Malfunction
Date Received
September 1, 2010
Date of Event
August 5, 2010
Report Date
September 1, 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
HI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE IS SERUM. SAMPLE CLOTTING TIME AND CENTRIFUGATION INFORMATION WAS NOT SUPPLIED. QC DURING THE EVENT WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. SERVICE WAS ON SITE ON (B)(4) 2010 AND PERFORMED A PREVENTIVE MAINTENANCE (PM). A SYSTEM CHECK WAS PERFORMED AND MET SPECIFICATIONS. NO HARDWARE ISSUE WAS NOTED. A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUSLY LOW TROPONIN (ACCUTNI) RESULT ON ONE PATIENT GENERATED BY ACCESS 2 IMMUNOASSAY ANALYZER. THE RESULT WAS REPORTED OUT OF THE LABORATORY. UPON REPEAT, THE RESULTS WERE WITHIN THE RISK STRATIFICATION RANGE AND BETTER FIT THE PATIENT'S CLINICAL PICTURE. 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 MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1