FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 2342857 · Received November 18, 2011

Report

Report Number
2122870-2011-05442
Event Type
Malfunction
Date Received
November 18, 2011
Date of Event
October 25, 2011
Report Date
October 25, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
K922823/A007
Removal / Correction Number
Z-0607-2011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A CUSTOMER TECHNICAL SUPPORT (CTS) ASSISTED CUSTOMER IN TROUBLESHOOTING. WHEN THE PACK SHARING OCCURS, THE INSTRUMENT DOES NOT DETECT THAT THE PACK TEST COUNT IS INCORRECT. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. USE ERROR IS THE ROOT CAUSE FOR THIS EVENT. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BEC) TO REPORT A FAILED TROPONIN (ACCUTNI) CALIBRATION. THE ISSUE IS ASSOCIATED WITH THE ACCESS 2 IMMUNOASSAY SYSTEM. IT WAS DETERMINED THE CUSTOMER HAD BEEN SHARING REAGENT PACKS BETWEEN THE TWO ACCESS 2 SYSTEMS. NO PATIENT RESULTS WERE GENERATED OFF THE SHARED REAGENT PACK AS IT WAS A NEW LOT NUMBER AND THE CALIBRATION FAILED. THERE HAVE BEEN NO REPORTS OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT IN ASSOCIATION TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS® 2 IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE MMI BECKMAN COULTER INC. ACCESS 2 NA

Patients

Seq Age Sex Outcome Treatment
1