FDA Adverse Event Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 1894513 · Received November 9, 2010

Report

Report Number
2122870-2010-00714
Date Received
November 9, 2010
Date of Event
October 11, 2010
Report Date
November 9, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN THE CUSTOMERS ESTABLISHED RANGES PRE AND POST THE EVENT. QC WAS NOT PREFORMED AFTER THE NO VALUE/ND FLAGS WERE RECEIVED HOTLINE INSTRUCTED THE CUSTOMER TO VERIFY THE LOCATION OF THE CK-MB REAGENT PACK. DURING TROUBLESHOOTING, THE CUSTOMER FOUND ONE CK-MB REAGENT PACK NOT IN THE PROPER LOCATION ON THE SYSTEM. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. USER ERROR IS THE ROOT CAUSE OF THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO NO VALUE WITH INDETERMINATE (IND) FLAGS ON SEVERAL PATIENT'S SAMPLE FOR CK-MB GENERATED BY THE ACCESS 2 IMMUNOASSAY ANALYZER. THE 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