FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY ANALYZER

MDR report key: 2150045 · Received July 5, 2011

Report

Report Number
2122870-2011-02136
Event Type
Malfunction
Date Received
July 5, 2011
Date of Event
June 5, 2011
Report Date
June 5, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K922823/A007
Removal / Correction Number
Z-0607-2011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER DID NOT FOLLOW THE OUTLINED PROCEDURE FOR LOADING A NEW REAGENT PACK ON THE SYSTEM. CUSTOMER'S QC WAS WITHIN PUBLISHED SPECIFICATIONS. THROUGH ROUTINE TROUBLESHOOTING WITH CUSTOMER, BEC CUSTOMER TECHNICAL SUPPORT (CTS) DISCOVERED THAT AN EXTRA PACK WAS LOADED ON THE INSTRUMENT THAT WAS NOT IN INVENTORY. PER CTS INSTRUCTIONS, CUSTOMER REMOVED REAGENT PACK AND DISCARDED IT. USER ERROR IS THE ROOT CAUSE OF THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) A REAGENT PACK MIS-LOAD ON THE ACCESS 2 IMMUNOASSAY ANALYZER. NO ERRONEOUS RESULTS WERE REPORTED. THERE ARE NO REPORTS OF PATIENT INJURY OR UNNECESSARY MEDICAL TREATMENT AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS® 2 IMMUNOASSAY ANALYZER DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER FOR CLINICAL USE JJE BECKMAN COULTER, INC. ACCESS 2 NA

Patients

Seq Age Sex Outcome Treatment
1