FDA Adverse Event Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 1911098 · Received November 30, 2010

Report

Report Number
2122870-2010-00819
Date Received
November 30, 2010
Date of Event
November 2, 2010
Report Date
November 2, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
922823/A007
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES ARE LITHIUM HEPARIN PLASMA WITH GEL BARRIER. QC PERFORMED ON (B)(6) 2010 WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. LOW LEVEL QC TEST WAS OUT OF SPECIFICATION (HIGH). THE CUSTOMER RECALIBRATED THE UNIT AND RERAN THE TEST; HOWEVER, THE RESULT WAS STILL OUT OF SPECIFICATION (HIGH). A BCI FIELD SERVICE ENGINEER (FSE) REPLACED THE WASH VALVE HOME SENSOR AND ROTOR. FSE REBUILT THE WASH PUMP, VERIFIED ALIGNMENTS AND CLEANED THE WASH WHEEL. ALL VERIFICATION TESTS MET SPECIFICATIONS. A CLEAR ROOT CAUSE COULD NOT BE DETERMINED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ELEVATED ACCUTNI RESULTS WITHIN THE RISK STRATIFICATION RANGE FOR TWO PATIENTS GENERATED BY ACCESS 2 IMMUNOASSAY ANALYZER. THE RESULTS WERE REPORTED OUT OF THE LABORATORY AND QUESTIONED BY THE PHYSICIAN. THE PATIENTS WERE HELD AT THE ER FOR OBSERVATION. REPEAT TESTING ON THE ORIGINAL SAMPLE GENERATED RESULTS WITHIN THE NORMAL REFERENCE RANGE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization