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