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 |