FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 1992528 · Received February 15, 2011

Report

Report Number
2122870-2011-00371
Event Type
Malfunction
Date Received
February 15, 2011
Date of Event
January 17, 2011
Report Date
January 18, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PER CUSTOMER: QC RUN PRIOR TO AND AFTER THE EVENT WAS WITHIN RANGE. THE SAMPLES DID NOT APPEAR TO HAVE FIBRIN OR APPEARED ATYPICAL. NO FLAGS GENERATED WITH THESE RESULTS. ON (B)(6) 2011 SYSTEM CHECK PASSED ALL SPECIFICATIONS. SERVICE WAS NOT REQUESTED. THE CUSTOMER UTILIZED THEIR STAFF BIOMED ENGINEER TO MAINTAIN AND REPAIR THE INSTRUMENT. NO HARDWARE ISSUES WERE NOTED. BIOMED REPORTED NO ISSUES WITH THE INSTRUMENT. BIOMED ENGINEER CLEANED THE REAGENT CAROUSEL. INSTRUMENT VERIFIED AS PERFORMING TO BCI PERFORMANCE SPECIFICATIONS. A CLEAR ROOT CAUSE CAN NOT BE IDENTIFIED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO RECEIVING ACCUTNI RESULTS IN THE RISK STRATIFICATION RANGE FOR MULTIPLE PATIENTS GENERATED BY ACCESS 2 IMMUNOASSAY ANALYZER. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY; HENCE PATIENTS' TREATMENT WAS NOT IMPACTED BY THE EVENT. THE SAMPLES WERE REPEATED ON AN ALTERNATE METHODOLOGY AND NEGATIVE RESULTS WERE OBTAINED.

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