FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 1982870 · Received February 9, 2011

Report

Report Number
2122870-2011-00348
Event Type
Malfunction
Date Received
February 9, 2011
Date of Event
October 8, 2010
Report Date
January 12, 2011
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
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE WAS COLLECTED IN LITHIUM HEPARIN TUBE AND WAS CENTRIFUGED AT < 5000 RPM FOR 10 MINUTES. THE CUSTOMER IS NOT REPORTING ANY ISSUES WITH QC OR INSTRUMENTATION. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. BCI CUSTOMER PRODUCT LINE SUPPORT (CPLS) IDENTIFIED AN INTERFERENT IN THE PATIENT'S SAMPLE FROM (B)(6) 2011. THE RELATED EVENT IS REPORTED IN MEDWATCH #2122870-2011-00355. A ROOT CAUSE FOR THIS EVENT WAS A PATIENT SOURCE INTERFERENT IN THE SAMPLE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BCI) IN REGARDS TO CONSISTENTLY ELEVATED TROPONIN (ACCUTNI) RESULTS ABOVE THE AMI CUTOFF GENERATED BY ACCESS 2 IMMUNOASSAY SYSTEM FOR ONE PATIENT'S SAMPLE. THE RESULTS WERE REPORTED OUT OF THE LABORATORY, AND WERE QUESTIONED BY THE PHYSICIAN. IT IS UNKNOWN TO THE CUSTOMER WHETHER THERE WAS PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED TO 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. NA NA

Patients

Seq Age Sex Outcome Treatment
1