FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 1844087 · Received September 24, 2010

Report

Report Number
2122870-2010-00566
Event Type
Malfunction
Date Received
September 24, 2010
Date of Event
August 31, 2010
Report Date
September 24, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC PERFORMED PRIOR TO AND AFTER THE EVENT WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: THE FSE VERIFIED HARDWARE PERFORMANCE; ALL TESTING MET SPECIFICATIONS. NO HARDWARE ISSUES WERE NOTED. NO CLEAR ROOT CAUSE COULD BE DETERMINED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING A TROPONIN (ACCUTNI) RESULT, ABOVE THE AMI CUT-OFF, GENERATED BY THE ACCESS 2 IMMUNOASSAY SYSTEM FOR ONE PATIENT'S SAMPLE. THE RESULT WAS NOT REPORTED OUT OF THE LAB. UPON REPEAT THE RESULTS WERE IN THE NORMAL REFERENCE 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. ACCESS® 2 IMMUNOASSAY SYSTEM

Patients

Seq Age Sex Outcome Treatment
1 69 YR