FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 2003445 · Received March 1, 2011

Report

Report Number
2122870-2011-00507
Event Type
Malfunction
Date Received
March 1, 2011
Date of Event
January 28, 2011
Report Date
February 1, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN CUSTOMER'S SPECIFICATIONS PRIOR TO THE EVENT. A BCI FIELD SERVICE ENGINEER (FSE) NOTED THAT ALL PREVIOUS SYSTEM CHECKS FOR THIS INSTRUMENT PASSED WITHIN INSTRUMENT SPECIFICATIONS FSE PERFORMED: REQUIRED HARDWARE VERIFICATION TESTING; NO ISSUES WERE NOTED. A HIGH SENSITIVITY SYSTEM CHECK WHICH PASSED WITHIN INSTRUMENT SPECIFICATIONS. REPLACED THE MIXER A DEFINITIVE ROOT CAUSE HAS NOT BEEN DETERMINED TO DATE FOR THIS EVENT WITH THE DATA PROVIDED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO RECEIVING ACCUTNI RESULT ABOVE THE ACUTE MYOCARDIAL INFARCTION (AMI) CUT-OFF FOR ONE PATIENT GENERATED BY THE ACCESS 2 IMMUNOASSAY ANALYZER. THE RESULT WAS NOT REPORTED OUT OF THE LABORATORY; HENCE NO IMPACT TO PATIENT TREATMENT. THE SAMPLES WERE REPEATED ON THE SAME UNIT AND LOWER RESULT WITHIN THE NORMAL REFERENCE RANGE WAS OBTAINED.

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 N/A

Patients

Seq Age Sex Outcome Treatment
1