FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 2103518 · Received May 26, 2011

Report

Report Number
2122870-2011-01570
Event Type
Malfunction
Date Received
May 26, 2011
Date of Event
April 14, 2011
Report Date
April 29, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K922823/A007
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SPACING BETWEEN THE PLACEMENT CLIPS OF THE PERISTALTIC TUBING WAS TOO WIDE AND WAS FOUND TO BE OUT OF SPECIFICATIONS. THE FSE FOUND THAT REACTION VESSEL ASPIRATION WAS "POOR" WITH THIS TUBING. A SYSTEM CHECK WITH HIGH WASHED % CV VALUES INDICATES AN INSUFFICIENT RV ASPIRATION. THE TUBING WAS REPLACED AND SERVICE VERIFIED SYSTEM PERFORMANCE PER PUBLISHED SPECIFICATIONS. PERI-TUBING WAS PLACED ON STOP-SHIP. INVESTIGATION IS ONGOING.

Description of Event or Problem · 1

DURING A SERVICE CALL TO PERFORM A ROUTINE PREVENTIVE MAINTENANCE (PM) PROCEDURE ON ACCESS 2 IMMUNOASSAY SYSTEM, A FIELD SERVICE ENGINEER (FSE) FOUND THAT THE PM KIT CONTAINED PERISTALTIC TUBING THAT WAS OUT -OF-SPECIFICATIONS. NO ERRONEOUS RESULTS WERE GENERATED, AS THE INSTRUMENT HAD NOT BEEN RELEASED TO THE CUSTOMER BEFORE THE TUBING WAS REPLACED AND ALL SERVICE TESTING PASSED.

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 NA

Patients

Seq Age Sex Outcome Treatment
1