ACCESS 2 IMMUNOASSAY SYSTEM
Report
- Report Number
- 2122870-2011-01938
- Event Type
- Malfunction
- Date Received
- June 24, 2011
- Date of Event
- February 25, 2008
- Report Date
- February 25, 2008
- Manufacturer
- BECKMAN COULTER, INC.
- Product Code
- JJE
- PMA / PMN Number
- K922823/A007
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
THE FIELD SERVICE ENGINEER (FSE) WAS ON SITE (B)(4) 2008, TO INVESTIGATE THE EVENT. THE FSE WAS WORKING WITH SYSTEMS TECH SUPPORT IN REGARDS TO THE RETURN OF ULTRASONIC'S FAILURE ON LOWER ERRORS ON SERIAL (B)(4). THE FSE DID NOT INDICATE IF ANY REPAIRS WERE CONDUCTED. THE FSE PERFORMED THE LUM WASH DIAGNOSTIC TESTING ON BOTH SYSTEMS AND BOTH PASSED WITHIN SPECIFICATIONS. A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED FOR THIS EVENT. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN (B)(4) 2008 AND (B)(4) 2010 FOR ADDITIONAL REPORTABLE EVENTS.
THE CUSTOMER CONTACTED BECKMAN COULTER, INC (BCI) IN REGARDS TO ERRONEOUSLY ELEVATED ACCUTNI (TROPONIN I) RESULT GENERATED ON THE ACCESS 2 IMMUNOASSAY SYSTEM. THE INITIAL ERRONEOUSLY ELEVATED RESULTS WERE REPORTED OUTSIDE THE LABORATORY. THE PATIENT SAMPLES WAS RETESTED ON A DIFFERENT INSTRUMENT AND THE RESULT WAS WITHIN THE NORMAL REFERENCE RANGE. THE CORRECT RESULT WAS REPORTED OUTSIDE THE LABORATORY. 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 | JJE | BECKMAN COULTER, INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 87 YR | ACCESS ACCUTNI |