FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 3081666 · Received April 29, 2013

Report

Report Number
2122870-2013-00382
Event Type
Malfunction
Date Received
April 29, 2013
Date of Event
June 15, 2012
Report Date
October 15, 2012
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE ENGINEER (FSE) OBSERVED THE SUBSTRATE TUBE FITTING, TO THE BLACK ASSEMBLY, WAS LOOSE AND LEAKING FLUID. THE FSE TIGHTENED THE FITTING AND PRIMED THE SUBSTRATE TO RESOLVE THE FLUID LEAK ISSUE. QUALITY CONTROL (QC) WAS PERFORMED TO VERIFY SYSTEM OPERATION. SERVICE ACTIVITY PERFORMED WAS VERIFIED TO MEET THE SPECIFIED REQUIREMENTS PER ESTABLISHED PROCEDURES. THE INSTRUMENT CONFORMED TO THE MANUFACTURER'S PUBLISHED SPECIFICATIONS AND WAS RETURNED TO NORMAL OPERATION. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE INSTRUMENT WAS USING MORE SUBSTRATE THAN NORMAL INVOLVING THE ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER HAD RECENTLY MOVED THE INSTRUMENT. DURING TROUBLESHOOTING, THE CUSTOMER DISCOVERED A PUDDLE OF SUBSTRATE SOLUTION UNDER THE INSTRUMENT, NEAR THE TUBING CONNECTION. THE LABORATORY HAS A POLICY FOR SPILL CLEANUP IN PLACE. THE CUSTOMER DISCONTINUED USE OF THE INSTRUMENT AND REQUESTED SERVICE. THE CUSTOMER DID NOT HAVE DIRECT CONTACT WITH THE FLUID. THERE WAS NO OPERATOR INJURY OR ADVERSE EFFECT ASSOCIATED WITH THIS EVENT. PATIENT RESULTS WERE NOT IMPACTED. THERE WAS NO PATIENT CONSEQUENCE ASSOCIATED WITH THIS EVENT. A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
185610 ACCESS® 2 IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1