FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 2142146 · Received May 26, 2011

Report

Report Number
2122870-2011-01439
Event Type
Malfunction
Date Received
May 26, 2011
Date of Event
March 14, 2008
Report Date
March 17, 2008
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

FIELD SERVICE ENGINEER (FSE) WAS ON SITE ON (B)(4) 2008 TO INVESTIGATE THE EVENT. FSE VERIFIED INSTRUMENT PER TYPE 1 VERIFICATION PROTOCOL AND NO HARDWARE ISSUES WERE IDENTIFIED. THE SYSTEM CHECK DATA THAT WAS PERFORMED ON (B)(6) 2008, WAS REVIEWED AND IT WAS WITHIN SPECIFICATION. NO DEFINITIVE CAUSE COULD BE DETERMINED FOR THIS EVENT. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN JANUARY 1, 2008 AND OCTOBER 23, 2010 FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED BECKMANN COULTER INC, (BCI) ON (B)(6) 2008 REGARDING ACCUTNI (TROPONIN) RESULT THAT WAS WITHIN THE RISK STRATIFICATION RANGE FOR ONE PT. RESULTS WERE GENERATED ON THE ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER RE-RAN THE SAMPLE ON A DIFFERENT INSTRUMENT AND THE RESULT WAS WITHIN THE NORMAL RANGE. THE INITIAL ELEVATED ACCUTNI RESULTS WERE REPORTED OUTSIDE THE LABORATORY. IT IS NOT KNOWN IF THERE WAS ANY CHANGE TO THE PT TREATMENT. THERE IS NO INDICATION OF AN ADVERSE EVENT OR INDICATION OF ANY MEDICAL INTERVENTION TO PREVENT SERIOUS INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS 2 IMMUNOASSAY SYSTEM MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK ACCESS ACCUTNI