ACCESS® 2 IMMUNOASSAY SYSTEM
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
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.
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 |