FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMONOASSAY SYSTEM

MDR report key: 2188504 · Received July 29, 2011

Report

Report Number
2122870-2011-02595
Event Type
Malfunction
Date Received
July 29, 2011
Date of Event
August 2, 2008
Report Date
August 2, 2008
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SERVICE WAS NOT DISPATCHED FOR THIS EVENT. THE CUSTOMER HAS THERE OWN BIO MEDICAL DEPT THAT SERVICES THEIR INSTRUMENT. THE CUSTOMER'S BIO MEDICAL DEPT INSPECTED THE INSTRUMENT AND CLEANED THE ANALYTICAL UNIT OF SPILLED DRIED BUFFER, REPLACED A PINCH ROLLER AND THE INCUBATOR BELT AND REBUILT THE PRECISION. HARDWARE IS THE ROOT CAUSE OF THIS EVENT. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN (B)(4), 2008 THROUGH (B)(4), 2010 FOR ADD'L REPORTABLE EVENTS.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED BECKMAN COULTER, INC (BCI) IN REGARDS TO ERRONEOUSLY ELEVATED ACCUTNI (TROPONIN I) RESULTS GENERATED ON THE ACCESS 2 IMMUNOASSAY SYSTEM. THE INITIAL ELEVATED RESULT WAS REPORTED OUTSIDE THE LAB. THE PT SAMPLE WAS RETESTED AND THE RESULT WAS WITHIN THE NORMAL REFERENCE RANGE. THE CORRECTED RESULT WAS SENT OUT OF THE LAB. THERE ARE NO REPORTS OF ANY ADVERSE PT CONSEQUENCE OR ANY MEDICAL INTERVENTION TO PREVENT OR PRECLUDE ANY ADVERSE PT EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS 2 IMMONOASSAY SYSTEM JJE BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 80 YR ACCESS ACCUTNI