FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 1992269 · Received February 15, 2011

Report

Report Number
2122870-2011-00406
Event Type
Malfunction
Date Received
February 15, 2011
Date of Event
January 19, 2011
Report Date
January 19, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLES ARE COLLECTED INTO LITHIUM HEPARIN GEL SEPARATOR TUBES. NO SPECIFIC EVENT QC DATA WAS SUPPLIED. PER THE CUSTOMER, THE UNIT IS CURRENTLY PERFORMING WITHIN QC SPECIFICATIONS UPON CONTACT WITH THE CUSTOMER. CUSTOMER PROVIDED INFORMATION THAT A PROACTIVE PROCEDURE HAS BEEN IMPLEMENTED TO VERIFY UNEXPECTED RESULTS PRIOR TO REPORTING THE RESULT OUTSIDE THE LABORATORY THEREBY PREVENTING POTENTIAL RISK TO PATIENT SAFETY. THE LABORATORY HAS AN ACCUTNI PATIENT SAMPLE REPEAT PROCEDURE IN WHICH ALL UNEXPECTED PATIENT SAMPLE RESULTS ARE RE-SPUN AND RE-ANALYZED. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. A ROOT CAUSE FOR THIS EVENT WAS NOT DETERMINED.

Description of Event or Problem · 1

BECKMAN COULTER INC., (BCI) CONTACTED THIS CUSTOMER VIA THE TROPONIN (ACCUTNI) MARKETING SURVEY PROGRAM (MSP) CUSTOMER CONTACT PROGRAM. THE CUSTOMER INDICATED SOME OCCURRENCES OF NON-REPRODUCIBLE FALSE POSITIVE ACCUTNI PATIENT RESULTS. THE ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE EVENTS WILL BE ASSUMED THAT THE FALSE POSITIVE ACCUTNI PATIENTS' RESULTS INITIALLY RECOVERED ABOVE THE AMI CUT-OFF WITH REPEAT RESULTS RECOVERING WITHIN NORMAL REFERENCE RANGE. THE CUSTOMER DID NOT REPORT AFFECT TO THE PATIENT OR USER 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. ACCESS 2 N/A

Patients

Seq Age Sex Outcome Treatment
1