FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY CLINICAL SYSTEM

MDR report key: 1943218 · Received December 30, 2010

Report

Report Number
2122870-2010-00990
Event Type
Malfunction
Date Received
December 30, 2010
Date of Event
December 1, 2010
Report Date
December 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
HK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN THE ESTABLISHED RANGES PRIOR TO AND AFTER THE EVENT. THE CUSTOMER DILUTED THE SAMPLE WITH SEVERAL DILUENTS. IT IS UNKNOWN IF THE CUSTOMER WAS USING THE DILUENT AS RECOMMENDED IN THE IFU (INSTRUCTION FOR USE). THE CUSTOMER SENT THE SAMPLES TO BCI FOR FURTHER TESTING, BUT THE SAMPLE HAS NOT BEEN RECEIVED TO DATE. 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 AN ELEVATED TROPONIN (ACCUTNI) RESULT ABOVE AMI CUTOFF GENERATED BY ACCESS 2 IMMUNOASSAY SYSTEM FOR ONE PATIENT'S SAMPLE. THE RESULT WAS REPORTED OUT OF THE LABORATORY. SUBSEQUENT TESTING BY AN ALTERNATE METHOD PRODUCED SIMILAR RESULTS. THERE WAS NO REPORT OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT ASSOCIATED WITH 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