FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 2000806 · Received February 24, 2011

Report

Report Number
2122870-2011-00477
Event Type
Malfunction
Date Received
February 24, 2011
Date of Event
January 26, 2011
Report Date
January 27, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLE COLLECTION AND QC SYSTEM INFORMATION HAS NOT BEEN SUPPLIED. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: THE FSE PERFORMED A SUBSTRATE VOLUME CHECK WHICH FAILED. THE SUBSTRATE PUMP WAS ONLY DELIVERING 50% OF THE EXPECTED VOLUME. THE FSE REPLACED THE SUBSTRATE PUMP AND DECONTAMINATED THE SUBSTRATE SYSTEM. THE FSE RECALIBRATED ALL ASSAYS AND PERFORMED QC; NO ISSUES WERE NOTED. HARDWARE ISSUE, ADDRESSED BY THE FSE, IS THE ROOT CAUSE OF THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING A LOWER THAN EXPECTED BHCG RESULT GENERATED BY THE ACCESS 2 INSTRUMENT FOR ONE PATIENT. THE RESULT WAS REPORTED OUT OF THE LAB AND WAS QUESTIONED BY THE PHYSICIAN. SUBSEQUENT TESTING PRODUCED A HIGHER RESULT WITHIN A DIFFERENT GESTATIONAL CATEGORY. THE EFFECT, IF ANY, TO THE PATIENT IS UNKNOWN AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS® 2 IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. ACCESS® 2 IMMUNOASSAY SYSTEM

Patients

Seq Age Sex Outcome Treatment
1