FDA Adverse Event
Injury
Summary report: N
ACCESS® 2 IMMUNOASSAY SYSTEM
MDR report key: 1960013
·
Received January 13, 2011
Report
- Report Number
- 2122870-2011-00058
- Event Type
- Injury
- Date Received
- January 13, 2011
- Date of Event
- October 27, 2010
- Report Date
- December 16, 2010
- Manufacturer
- BECKMAN COULTER INC.
- Product Code
- JJE
- PMA / PMN Number
- K922823/A007
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE SPECIMEN IS NOT AVAILABLE FOR TESTING. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. A DEFINITIVE ROOT CAUSE HAS NOT BEEN DETERMINED TO DATE FOR THIS EVENT.
Description of Event or Problem · 1
A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING THYROGLOBULIN RESULTS IN THE NORMAL REFERENCE RANGE GENERATED BY THE ACCESS 2 IMMUNOASSAY SYSTEM FOR ONE PATIENT THAT DID NOT FIT THE CLINICAL PICTURE OF THE PATIENT. PREVIOUS THYROGLOBULIN RESULTS ON TWO ALTERNATE METHODS WERE BELOW THE NORMAL REFERENCE RANGE. THE RESULTS WERE REPORTED OUT OF THE LAB. THE PATIENT HAS TO REPEAT SEVERAL EXAMS DUE TO THE HIGHER THAN EXPECTED THYROGLOBULIN RESULTS. EXACT TREATMENTS OR TESTS THAT HAD TO BE REPEATED WERE NOT SUPPLIED.
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 IMMUNOASSAY SYSTEM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |