FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY CLINICAL SYSTEM

MDR report key: 1963109 · Received January 18, 2011

Report

Report Number
2122870-2011-00066
Event Type
Malfunction
Date Received
January 18, 2011
Date of Event
December 19, 2010
Report Date
December 20, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K922823/A007
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE WAS LITHIUM HEPARIN PLASMA, AND WAS CENTRIFUGED FOR 3 MINUTES. THE CENTRIFUGATION SPEED WAS NOT PROVIDED. QC WAS WITHIN THE ESTABLISHED RANGES PRIOR TO THE EVENT. THE SYSTEM CHECK WAS PERFORMED ON (B)(4) 2010 AND FAILED THE WASH PORTION. THE CUSTOMER REPEATED THE WASH PORTION OF THE SYSTEM CHECK AND THE RESULTS MET THE SPECIFICATIONS. SERVICE WAS ON SITE ON (B)(4) 2010. A BCI FIELD SERVICE ENGINEER (FSE) PERFORMED QC ON A NEW REAGENT PACK. THE RESULTS INDICATED THE ULTRASONICS WAS NOT PERFORMING AS EXPECTED. THE FSE REPLACED THE TRANSDUCER, THE ULTRASONICS BOARD, AND THE SERVICE LOOP CABLE. THE FSE PERFORMED A VERIFICATION TEST AND THE RESULTS WERE WITHIN THE SPECIFICATIONS. ALTHOUGH HARDWARE ISSUES WERE ADDRESSED, A DEFINITIVE 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 A TROPONIN (ACCUTNI) RESULT IN THE NORMAL REFERENCE RANGE GENERATED BY ACCESS 2 IMMUNOASSAY SYSTEM FOR ONE PATIENT. THE RESULT WAS NOT REPORTED OUT OF THE LABORATORY. SUBSEQUENT TESTING PRODUCED RESULTS WITHIN THE RISK STRATIFICATION RANGE. 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 JJE BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1