FDA Adverse Event Malfunction Summary report: N

ACCESS® 2 IMMUNOASSAY SYSTEM

MDR report key: 3200744 · Received July 1, 2013

Report

Report Number
2122870-2013-00589
Event Type
Malfunction
Date Received
July 1, 2013
Date of Event
June 3, 2013
Report Date
June 3, 2013
Manufacturer
BECKMAN COULTER
Product Code
JJE
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

(B)(4).

Additional Manufacturer Narrative · 1

SERVICE WAS NOT DISPATCHED AS THE CUSTOMER RESOLVED THE ISSUE THROUGH SYSTEM TROUBLESHOOTING VIA THE TELEPHONE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED MULTIPLE VITAMIN B12 CALIBRATION FAILURES AND ELEVATED COEFFICIENT OF VARIATIONS (CVS) INVOLVING ACCESS 2 IMMUNOASSAY SYSTEM UTILIZED IN CONJUNCTION WITH THE ACCESS VITAMIN B12 ASSAY AND CALIBRATOR. THROUGH TROUBLESHOOTING, IT WAS NOTED SYSTEM CHECK ALSO FAILED WITH A HIGH SUBSTRATE AND HIGH UNWASHED CVS. NO ERRONEOUS PATIENT RESULTS WERE GENERATED OR REPORTED OUT OF THE LABORATORY. THERE WAS NO PATIENT CONSEQUENCE ASSOCIATED WITH THIS EVENT. WHILE TROUBLESHOOTING, THE CUSTOMER DISCOVERED THE SUBSTRATE BOTTLE CAP FITTINGS WERE SLIGHTLY LOOSE, AND THE CUSTOMER TIGHTENED THE FITTINGS. THE CUSTOMER REPEATED SYSTEM CHECK AND NOTED IT FAILED DUE TO HIGH WASHED CV. BECKMAN COULTER CUSTOMER TECHNICAL SPECIALIST (CTS) INSTRUCTED THE CUSTOMER TO REPLACE THE ASPIRATE PROBES AND REPEAT SYSTEM CHECK; SYSTEM CHECK PASSED WITHIN SPECIFICATION. BECKMAN COULTER ADVISED THE CUSTOMER TO REANALYZE ANY PATIENT SAMPLES FOR RESULTS ACCURACY SINCE THE TIME OF THE EVENT. THE CUSTOMER REPORTED NO OTHER ISSUES WERE NOTED. THE INSTRUMENT WAS IN NORMAL OPERATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
297760 ACCESS® 2 IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1