FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 2890435 · Received December 30, 2012

Report

Report Number
2122870-2012-02033
Event Type
Malfunction
Date Received
December 30, 2012
Date of Event
November 29, 2012
Report Date
November 30, 2012
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
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 AS THE CUSTOMER DID NOT QUESTION SYSTEM PERFORMANCE. A DEFINITIVE CAUSE OF THE EVENT IS UNKNOWN.

Description of Event or Problem · 1

THE CUSTOMER OBTAINED ERRATIC (IMPRECISE) TROPONIN I (ACCESS ACCUTNI) RESULTS, ABOVE THE ACUTE MYOCARDIAL INFARCTION (AMI) LIMIT, FOR ONE PATIENT, INVOLVING ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER STATED THE PATIENT HAD AN INITIAL RESULT, ABOVE THE AMI LIMIT, THAT WAS NOT QUESTIONED AS ERRONEOUS. THE PATIENT THEN UNDERWENT A CARDIAC CATHETERIZATION PROCEDURE AND SUBSEQUENT TROPONIN I RESULTS WERE ELEVATED ABOVE THE AMI LIMIT. A FINAL RESULT, ABOVE THE AMI LIMIT, WAS RELEASED OUTSIDE THE LABORATORY. THERE WAS NO EVIDENCE OF AN ERRONEOUS RESULT. THERE WAS NO PATIENT CONSEQUENCE ASSOCIATED WITH THIS EVENT. THE EVENT WAS REPORTED AS PART OF BECKMAN COULTER MARKETING SURVEY PROGRAM (MSP) FOR TROPONIN. THE CUSTOMER DID NOT PROVIDE INFORMATION INDICATING AN INCREASE IN OCCURRENCE OR AN INSTRUMENT MALFUNCTION.

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. NA NA

Patients

Seq Age Sex Outcome Treatment
1