FDA Adverse Event Malfunction Summary report: N

UNICEL® DXL 600 ACCESS® IMMUNOASSAY SYSTEM

MDR report key: 2073405 · Received May 1, 2011

Report

Report Number
2122870-2011-01232
Event Type
Malfunction
Date Received
May 1, 2011
Date of Event
March 9, 2009
Report Date
March 12, 2009
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
Z-1318-2010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO SAMPLE COLLECTION AND CENTRIFUGATION DATA WAS SUPPLIED. CUSTOMER REPORTED TO BCI CTS (CUSTOMER TECHNICAL SUPPORT) THAT A NOTICEABLE DIFFERENCE IN TROPONIN (ACCUTNI) PATIENT RESULTS BETWEEN THE 2 INSTRUMENTS AROUND THE TIME THAT ACCUTNI REAGENT LOT NUMBER 850003 WAS PUT INTO USE. ACCUTNI REAGENT LOT NUMBER 850003 WAS IN USE ON THE DXI WHEN PATIENT ONE WAS PROCESSED. ACCUTNI REAGENT LOT NUMBER 850010 WAS IN USE ON THE DXI WHEN PATIENT TWO WAS PROCESSED. TWO LEVELS OF ACCUTNI QC RESULTED WITHIN SPECIFICATIONS ON (B)(6) 2009. A SYSTEM CHECK PERFORMED ON (B)(6) 2009 AT 11:52 RESULTED WITHIN SPECIFICATIONS. A FIELD SERVICE ENGINEER (FSE) PERFORMED A PREVENTIVE MAINTENANCE (PM) THE WEEK OF (B)(6) 2009. FSE 20-REPLICATE PRECISION RUN WITH GOOD PRECISION BETWEEN PIPETTORS 1 AND 2. FSE PERFORMED HIGH-SENSITIVITY SYSTEM CHECK. RESULTS RECOVERED WITHIN 1 SD OF THE SAME 7 PATIENT RESULTS FROM THE OTHER INSTRUMENT. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW CONDUCTED BETWEEN JANUARY 1, 2008 - OCTOBER 23, 2010 OF COMPLAINTS FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING ELEVATED TROPONIN (ACCUTNI) RESULTS GENERATED BY THE UNICEL DXL 600 ACCESS IMMUNOASSAY SYSTEM. THE TWO SAMPLES WERE REPEATED ON AN ALTERNATE ANALYZER AND RESULTS IN THE NORMAL REFERENCE RANGE WERE OBTAINED. NO REPORTS OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT HAVE BEEN REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXL 600 ACCESS® IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1