FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I ACCESS® IMMUNOASSAY SYSTEM (ACCESS® 2 PORTION)

MDR report key: 3010535 · Received March 19, 2013

Report

Report Number
2122870-2013-00280
Event Type
Malfunction
Date Received
March 19, 2013
Date of Event
February 19, 2013
Report Date
February 20, 2013
Manufacturer
BECKMAN COULTER
Product Code
MMI
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SYSTEM PARAMETERS (INCLUDING QC, CALIBRATIONS, AND SYSTEM CHECKS) HAVE BEEN PERFORMING WITHIN ASSAY/INSTRUMENT SPECIFICATIONS. THE SAMPLES ARE COLLECTED IN BECTON DICKINSON LITHIUM HEPARIN PLASMA SEPARATOR TUBES AND CENTRIFUGED FOR 5 MINUTES AT 4000 RPMS IN ROOM TEMPERATURE. THE CUSTOMER REPORTED THAT ALL PATIENT SAMPLES ARE ALIQUOTED INTO AN INSERT CUP PRIOR TO ANALYSIS; THEREFORE, ALL SAMPLES ARE INSPECTED FOR SAMPLE INTEGRITY ISSUES. NO SAMPLE INTEGRITY ISSUES WERE REPORTED FOR THIS EVENT. SERVICE WAS NOT DISPATCHED TO THE CUSTOMER SITE IN RESPONSE TO THIS EVENT. A DEFINITIVE CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED TO DATE. THE FOLLOWING LISTS ALL MDRS ASSOCIATED WITH THIS EVENT: 2122870-2013-00275, 2122870-2013-00276, 2122870-2013-00277, 2122870-2013-00278, 2122870-2013-00279, 2122870-2013-00280, 2122870-2013-00300, 2122870-2013-00301, 2122870-2013-00302, 2122870-2013-00303, 2122870-2013-00304.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BEC) IN REGARDS TO OBTAINING ERRATIC (IMPRECISE) TROPONIN (ACCUTNI) RESULTS, BOTH WITHIN THE RISK STRATIFICATION RANGE AND ABOVE THE ACUTE MYOCARDIAL INFARCTION (AMI) CUT-OFF FOR FIFTEEN (15) PATIENTS GENERATED, OVER MULTIPLE DAYS (10/03/2012 THROUGH 02/19/2013), ON THE ACCESS 2 IMMUNOASSAY PORTION OF THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL IMMUNOASSAY SYSTEM USED IN CONJUNCTION WITH THE ACCESS ACCUTNI REAGENT (LOT # 226762). THIS REPORT DOCUMENTS THE RESULTS OBTAINED ON (B)(4) 2013. THE ACCUTNI RESULTS WERE NOT RELEASED OUT OF THE LABORATORY UNTIL ALL REPEAT TESTING WAS COMPLETED. THE SAMPLES WERE RE-SPUN AND REPEATED ON THE SAME ANALYZER, WHICH YIELDED A RESULT WITHIN THE SAME CLINICAL CATEGORY FOR ONE PATIENT AND A RESULT WITHIN THE NORMAL REFERENCE RANGE FOR THE SECOND PATIENT. THE REPEATED RESULTS WERE OUTSIDE THE PRECISION CLAIMS, STATED IN THE ASSAY'S INFORMATION FOR USE (IFU). THERE WAS NO CHANGE TO, OR IMPACT ON, PATIENT TREATMENT ATTRIBUTED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
113182 UNICEL® DXC 600I ACCESS® IMMUNOASSAY SYSTEM (ACCESS® 2 PORTION) ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE MMI BECKMAN COULTER DXC 600I (ACCESS® 2 PORTION) NA

Patients

Seq Age Sex Outcome Treatment
1