FDA Adverse Event Malfunction Summary report: N

ACCESS® ACCUTNI?

MDR report key: 3191766 · Received June 26, 2013

Report

Report Number
2122870-2013-00578
Event Type
Malfunction
Date Received
June 26, 2013
Date of Event
May 6, 2013
Report Date
May 28, 2013
Manufacturer
BECKMAN COULTER
Product Code
MMI
PMA / PMN Number
K021814
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THERE IS NO INDICATION THE ACCESS ACCUTNI DEVICE WAS RETURNED FOR EVALUATION. QUALITY CONTROL (QC) DATA WAS WITHIN RANGE. THE CUSTOMER HAD A PASSING SYSTEM CHECK ON (B)(6), 2013. CALIBRATION ALSO PASSED ON (B)(6) 2013 USING REAGENT LOTS 230414 AND 324171. THE FSE NOTED DRIED WASH BUFFER BUILDUP ON THE WASH CAROUSEL. THE FSE CLEANED THE WASH CAROUSEL AND ADJUSTED THE PINCH ROLLER TENSION. THERE IS NO EVIDENCE; HOWEVER, THAT THERE IS AN INSTRUMENT MALFUNCTION. A DEFINITIVE CAUSE OF THE EVENT IS UNKNOWN.

Description of Event or Problem · 1

THE CUSTOMER REPORTED OBTAINING DISCREPANT TROPONIN I (ACCUTNI) PATIENT RESULTS FOR ONE PATIENT, INVOLVING THE ACCESS ACCUTNI ASSAY UTILIZED IN CONJUNCTION WITH THE ACCESS 2 IMMUNOASSAY SYSTEM. THE SAMPLE WAS THREE TIMES ON THE SAME ACCESS 2 ANALYZER (SERIAL NUMBER (B)(4)) AND GENERATED RESULTS OF 0.06, 0.01, AND 0.01 NG/ML. THERE WAS NO REPORT OF PATIENT INJURY OR CHANGE IN PATIENT TREATMENT ASSOCIATED WITH THIS EVENT. A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE FACILITY TO ASSESS THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
290551 ACCESS® ACCUTNI? IMMUNOASSAY METHOD, TROPONIN SUBUNIT MMI BECKMAN COULTER NA 230414

Patients

Seq Age Sex Outcome Treatment
1 89 YR