FDA Adverse Event Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 1884304 · Received October 27, 2010

Report

Report Number
2122870-2010-00639
Date Received
October 27, 2010
Date of Event
September 28, 2010
Report Date
October 27, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING TROUBLESHOOTING THE EVENT WITH ACCESS HOTLINE, THE CUSTOMER DISCOVERED THAT THE UNLOADED REAGENT PACK WAS EMPTY AND THRITY FOUR (34) TESTS WERE REMAINING. SERVICE WAS NOT DISPATCHED. ALTHOUGH REAGENT PACK SHARING IS SUSPECTED AS A CONTRIBUTING FACTOR, A CLEAR ROOT CAUSE CAN NOT BE DETERMINED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BC) IN REGARDS TO MULTIPLE INDETERMINATE RESULTS (IND) AND NO VALUES ON UNKNOWN NUMBER OF PATIENTS' SAMPLES GENERATED BY ACCESS2 IMMUMOANALYZER; HOWEVER, THE RESULTS ARE NOT PROVIDED. THE ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE IN TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS 2 IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. N/A N/A

Patients

Seq Age Sex Outcome Treatment
1