ACCESS® 2 IMMUNOASSAY SYSTEM
Report
- Report Number
- 2122870-2011-03065
- Event Type
- Malfunction
- Date Received
- August 22, 2011
- Date of Event
- July 29, 2011
- Report Date
- July 29, 2011
- Manufacturer
- BECKMAN COULTER, INC.
- Product Code
- JJE
- PMA / PMN Number
- K922823/A007
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
SERVICE WAS NOT DISPATCHED TO THE SITE, AS THE CRACKED WASTE BOTTLE WAS THE ROOT CAUSE OF THIS EVENT AND A NEW BOTTLE WAS PROVIDED TO THE CUSTOMER. BECKMAN COULTER INC. INSTRUMENT LABELING RECOMMENDS THE CLEANING OF EMPTY WASTE BOTTLES WITH TAP WATER ONLY. IT IS UNKNOWN AT THIS TIME IF THE CUSTOMER USED OTHER CHEMICALS TO "DECONTAMINATE" THE WASTE BOTTLE BEFORE REUSE. BCI INC. DOES NOT SPECIFY IN CUSTOMER DOCUMENTATION IF THERE ARE ANY CHEMICALS THAT SHOULD NOT BE USED FOR "DECONTAMINATION".
THE CUSTOMER REPORTED THAT ON (B)(6) 2011 THE WASTE BOTTLE ON THE FLUIDICS TRAY OF AN ACCESS 2 IMMUNOASSAY SYSTEM CRACKED AND SPRAYED LIQUID WASTE ONTO THE LABORATORY COUNTER. THE HEALTHCARE WORKER FOLLOWED THE LABORATORY PROCEDURE FOR CLEANING THE BIOHAZARDOUS SPILL. THERE WAS NO BIOHAZARDOUS EXPOSURE TO HEALTHCARE WORKER UNCOVERED WOUNDS OR MUCOUS MEMBRANES AND NO INJURIES WERE REPORTED. NO PERSONNEL SOUGHT ANY MEDICAL ATTENTION IN ASSOCIATION WITH THIS EVENT. NO PATIENT RESULTS WERE AFFECTED BY THIS EVENT. NO DEATH, INJURY OR MODIFICATION TO PATIENT TREATMENT WAS ASSOCIATED WITH THIS EVENT. THE AGE OF THE WASTE BOTTLE IS UNKNOWN. BECKMAN COULTER INC. HAS NO RECOMMENDATIONS REGARDING THE REPLACEMENT OF THE WASTE CONTAINER AFTER PROLONGED USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACCESS® 2 IMMUNOASSAY SYSTEM | ANALYZER, CHEMISTRY | JJE | BECKMAN COULTER, INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |