FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 1905060 · Received November 22, 2010

Report

Report Number
2122870-2010-00740
Event Type
Malfunction
Date Received
November 22, 2010
Date of Event
October 25, 2010
Report Date
November 22, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER'S REPEAT PROTOCOL IS TO RE-SPIN ALL UNEXPECTED RESULTS AND RERUN. THE INSTRUMENT IS CURRENTLY PERFORMING WITHIN QC SPECIFICATIONS. SERVICE WAS NOT DISPATCHED FOR THIS EVENT DUE TO THE EVENT OCCURRING OVER 60 DAYS AGO. A ROOT CAUSE FOR THIS EVENT WAS NOT DETERMINED.

Description of Event or Problem · 1

BECKMAN COULTER INC., (BCI) CONTACTED THIS CUSTOMER VIA THE TROPONIN (ACCUTNI) MARKETING SURVEY PROGRAM (MSP) CUSTOMER CONTACT PROGRAM. THE CUSTOMER INDICATED SOME OCCURRENCES OF NON-REPRODUCIBLE FALSE POSITIVE ACCUTNI PATIENT RESULTS. THE ERRONEOUS RESULTS WERE NOT REPORTED OUTSIDE OF THE LABORATORY. THE CUSTOMER WAS ASKED TO PROVIDE SPECIFIC DATA, HOWEVER, THE CUSTOMER DECLINED TO SUBMIT DATA DUE TO THE EVENT OCCURRING OVER 60 DAYS AGO. THE CUSTOMER DID NOT REPORT AFFECT TO THE PATIENT OR USER ATTRIBUTED OR CONNECTED TO 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