ACCESS® 2 IMMUNOASSAY SYSTEM
Report
- Report Number
- 2122870-2011-01424
- Event Type
- Malfunction
- Date Received
- May 18, 2011
- Date of Event
- April 17, 2011
- Report Date
- April 18, 2011
- Manufacturer
- BECKMAN COULTER INC.
- Product Code
- MMI
- PMA / PMN Number
- K922823/A007
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
SAMPLE COLLECTION AND CENTRIFUGATION INFORMATION WERE NOT SUPPLIED. CUSTOMER STATED THAT QC HAD BEEN RECOVERING WITHIN THEIR ESTABLISHED RANGES. DATA HAS NOT BEEN SUPPLIED TO DATE. WEEKLY MAINTENANCE WAS PERFORMED ON (B)(4) 2011 INCLUDING CLEANING PROBES AND A PASSING SYSTEM CHECK. WEEKLY MAINTENANCE INCLUDING SYSTEM CHECK HAD NOT BEEN PERFORMED UNTIL REQUESTED BY BCI CUSTOMER TECHNICAL SUPPORT ON (B)(4) 2011, FOLLOWED BY QC, RECOVERING WITHIN EXPECTED RANGE. SERVICE WAS NOT DISPATCHED FOR THIS EVENT BECAUSE THE CUSTOMER DECLINED. USER ERROR DUE TO LACK OF MAINTENANCE IS ROOT CAUSE FOR THESE EVENTS.
A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) TO REPORT OBTAINING NUMEROUS ELEVATED TROPONIN (ACCUTNI) RESULTS WITHIN THE RISK STRATIFICATION RANGE FOR THREE (3) PATIENTS, GENERATED BY THE ACCESS 2 IMMUNOASSAY ANALYZER. THE RESULTS WERE REPORTED OUT OF THE LAB. REPEATED ANALYSIS OF SAMPLES RECOVERED LOWER RESULTS WITHIN THE NORMAL REFERENCE RANGE. THE CUSTOMER STATED THERE WAS NO DEATH OR INJURY TO PATIENT REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED WITH 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 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |