FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY CLINICAL SYSTEM

MDR report key: 1911194 · Received November 30, 2010

Report

Report Number
2122870-2010-00837
Event Type
Malfunction
Date Received
November 30, 2010
Date of Event
November 2, 2010
Report Date
November 2, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES WERE COLLECTED IN SERUM SEPARATOR TUBES. 19 OUT OF THE 39 SAMPLES HAD VISIBLE FIBRIN. THE CUSTOMER'S LAB HAS PROCEDURE TO REPEAT ALL PATIENT SAMPLES WITH ACCUTNI RESULTS OF > 0.05 NG/ML PRIOR TO REPORTING. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. A ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BCI) IN REGARDS TO 39 OCCURRENCES OF NON-REPRODUCIBLE FALSE POSITIVE TROPONIN (ACCUTNI) RESULTS GENERATED BY ACCESS 2 IMMUNOASSAY SYSTEM. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE CUSTOMER DID NOT REPORT EFFECT TO THE PATIENTS OR USER ATTRIBUTED OR CONNECTED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS® 2 IMMUNOASSAY CLINICAL SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1