FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 1914337 · Received December 3, 2010

Report

Report Number
2122870-2010-00847
Event Type
Malfunction
Date Received
December 3, 2010
Date of Event
November 9, 2010
Report Date
November 9, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. ON (B)(6) 2010 THE CUSTOMER PERFORMED SYSTEM CHECK, WHICH MET SPECIFICATIONS. THE CUSTOMER PERFORMED A DIAGNOSTIC SYSTEM CHECK, WHICH FAILED THE WASH PORTION. A BCI FIELD SERVICE ENGINEER (FSE) PERFORMED A PREVENTIVE MAINTENANCE. FSE RAN SYSTEM CHECK AND QC; BOTH WERE WITHIN SPECIFICATIONS. FSE DID NOT NOTE ANY HARDWARE ISSUES WITH THE UNIT. A CLEAR ROOT CAUSE CAN NOT BE DETERMINED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUS ELEVATED ACCUTNL RESULT ABOVE THE ACUTE MYOCARDIAL INFARCTION (AMI) CUTOFF FOR ONE PATIENT GENERATED BY THE ACCESS 2 IMMUNOASSAY ANALYZER. THE ERRONEOUS RESULT WAS NOT REPORTED OUT OF THE LABORATORY. THE ERRONEOUS SAMPLE WAS RETESTED ON THE SAME UNIT AND LOWER RESULT WAS OBTAINED. NO REPORTS OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT HAVE BEEN REPORTED IN CONNECTION WITH 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 N/A

Patients

Seq Age Sex Outcome Treatment
1