FDA Adverse Event Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 1911180 · Received November 30, 2010

Report

Report Number
2122870-2010-00821
Date Received
November 30, 2010
Date of Event
November 3, 2010
Report Date
November 3, 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
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLE INFORMATION IS UNAVAILABLE. PER CUSTOMER, QC WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. ONE SAMPLE WAS SUBMITTED TO CUSTOMER PRODUCT LINE SUPPORT (CPLS) FOR ADDITIONAL TESTING. CPLS TESTING CONFIRMED THE ROOT CAUSE OF THE EVENT TO BE A HETEROPHILE INTERFERENCE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) IN REGARDS TO THREE ERRONEOUS ELEVATED ACCUTNI RESULTS ABOVE THE ACUTE MYOCARDIAL INFARCTION (AMI) CUTOFF FOR ONE PATIENT GENERATED BY THE ACCESS 2 IMMUNOASSAY ANALYZER. THE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. THE SAMPLE WAS TESTED ON AN ALTERNATE METHOD AND "NEGATIVE" RESULT WAS OBTAINED. THE PATIENT WAS TRANSPORTED TO ANOTHER HOSPITAL, WHERE A TROPONIN T TEST WAS PERFORMED USING AN ALTERNATE METHOD AND NEGATIVE RESULT WAS OBTAINED.

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