FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 2142166 · Received May 26, 2011

Report

Report Number
2122870-2011-01437
Event Type
Malfunction
Date Received
May 26, 2011
Date of Event
December 14, 2008
Report Date
December 14, 2008
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

BCI OFFERED TO EVALUATE/SERVICE THE INSTRUMENT, HOWEVER, THE CUSTOMER DECLINED THIS OFFER. ACCORDINGLY, NO SYSTEM EVALUATION COULD BE PERFORMED. NO CONCLUSION CAN BE DRAWN. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN (B)(4) 2008 AND (B)(4) 2010 FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) ON (B)(6) 2008 REGARDING ERRONEOUSLY ELEVATED ACCUTNI (TROPONIN) RESULT GENERATED ON THE ACCESS 2 IMMUNOASSAY SYSTEM FOR ONE PATIENT. THE CUSTOMER RE-RAN THE SAMPLE ON A DIFFERENT INSTRUMENT AND THEY WERE WITHIN THE NORMAL REFERENCE RANGE. THE INITIAL ELEVATED ACCUTNI RESULTS WERE REPORTED OUTSIDE THE LABORATORY. THE CUSTOMER ALSO INDICATED THAT THE LAST SYSTEM CHECK WAS PERFORMED ON (B)(6) 2008 AND THE RESULTS WERE WITHIN SPECIFICATION. CUSTOMER REVIEWED THE EVENT LOG AND FOUND NO SIGNIFICANT ERRORS AROUND THE TIME OF THE EVENT. IT IS NOT KNOWN IF THERE WAS ANY CHANGE TO THE PATIENT 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 44 YR ACCESS ACCUTNI