FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 2152308 · Received June 24, 2011

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

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

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