FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 2132164 · Received June 17, 2011

Report

Report Number
2122870-2011-01906
Event Type
Malfunction
Date Received
June 17, 2011
Date of Event
May 12, 2011
Report Date
May 17, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K922823/A007
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLES ARE COLLECTED IN PLASTIC BD LITHIUM HEPARIN TUBES WITH GEL. CENTRIFUGATION DATA WAS NOT SUPPLIED. PER THE CUSTOMER, TWO LEVELS OF ACCUTNI QC RESULTS WITHIN THE CUSTOMER'S ESTABLISHED RANGES ON THE DAY OF THE EVENT. SYSTEM CHECKS PERFORMED ON (B)(6) 2011 MET SPECIFICATIONS. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011 FOR THIS EVENT. THE FSE TROUBLESHOT THE ULTRASONIC VOLTAGE. THE FSE REPLACED THE PIPETTOR TIP AND VERIFIED VOLTAGE. THE FSE ALSO VERIFIED THE VACUUM SYSTEM, THE MIXER BELT SPEED, AND CALIBRATED THE INCUBATOR BELT. THE FSE RAN A SYSTEM CHECK AND A HIGH SENSITIVITY (HS) SYSTEM CHECK, WHICH BOTH PASSED. THE FSE VERIFIED REPAIR PER ESTABLISHED PROCEDURES AND RESULTS MET PUBLISHED PERFORMANCE SPECIFICATIONS. A ROOT CAUSE FOR THIS EVENT WAS NOT DETERMINED TO DATE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO OBTAINING TROPONIN (ACCUTNI) RESULTS WITHIN THE RISK STRATIFICATION RANGE FOR ONE (1) PATIENT WHICH EXCEEDED THE ASSAY'S TOTAL IMPRECISION CLAIM OF 20%, GENERATED BY THE ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER DID NOT REPORT AFFECT TO THE END USER OR PATIENT RESULTS ATTRIBUTED OR CONNECTED TO THIS EVENT.

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