FDA Adverse Event Malfunction Summary report: N

UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM

MDR report key: 1863943 · Received October 11, 2010

Report

Report Number
2122870-2010-00599
Event Type
Malfunction
Date Received
October 11, 2010
Date of Event
September 13, 2010
Report Date
October 11, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RECALIBRATION OF THE ASSAY ON A NEW BNP REAGENT PACK PRODUCED A PASSING CALIBRATION CURVE. SERVICE WAS NOT DISPATCHED FOR THIS EVENT AS THE LIKELY ROOT CAUSE WAS DISCOVERED DURING TROUBLESHOOTING. REAGENT PACK SHARING IS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING NO VALUE, INDETERMINATE (IND) FLAGGED RESULTS GENERATED BY THE UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM ON SEVERAL PATIENTS' SAMPLES AND FAILED CALIBRATION FOR THE BRAIN NATRIURETIC PEPTIDE (BNP) ASSAY. WHILE TROUBLESHOOTING WITH ACCESS HOTLINE, A BNP REAGENT PACK WAS FOUND TO HAVE BEEN SHARED BETWEEN THE CUSTOMER'S DXI AND ACCESS SYSTEMS. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA

Patients

Seq Age Sex Outcome Treatment
1