FDA Adverse Event Malfunction Summary report: N

ACCESS® ACCUTNI?

MDR report key: 3213402 · Received July 9, 2013

Report

Report Number
2122870-2013-00601
Event Type
Malfunction
Date Received
July 9, 2013
Date of Event
June 21, 2013
Report Date
June 21, 2013
Manufacturer
BECKMAN COULTER
Product Code
MMI
PMA / PMN Number
K021814
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THERE IS NO INDICATION THE ACCESS ACCUTNI DEVICE WAS RETURNED FOR EVALUATION. THE CUSTOMER STATED THAT NO ISSUES WERE NOTED WITH THE LAST SYSTEM CHECK PERFORMED ON (B)(4) 2013. THE CUSTOMER RUNS THREE LEVELS OF QUALITY CONTROL (QC) ONCE PER DAY. NO RECENT QC ISSUE WAS NOTED. THE SAMPLE WAS IN A LI HEPARIN GEL TUBE AND CENTRIFUGED IN A STAT SPIN FOR 3 MINUTES. THE CUSTOMER DID NOT KNOW THE SPIN SPEED. THE CUSTOMER DECLINED SERVICE. A DEFINITIVE CAUSE OF THIS EVENT IS UNKNOWN.

Description of Event or Problem · 1

THE CUSTOMER REPORTED OBTAINING ERRONEOUS TROPONIN I (ACCUTNI) RESULTS FOR TWO (2) PATIENTS, INVOLVING THE ACCESS ACCUTNI ASSAY UTILIZED IN CONJUNCTION WITH THE ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER PROVIDED RESULTS FOR ONE OF THE PATIENTS. THE INITIAL RESULT GENERATED ON THE ACCESS 2 (SERIAL NUMBER (B)(4)) WAS 0.08 NG/ML. THE SAMPLE WAS RE-ANALYZED TWICE ON THE SAME INSTRUMENT AND YIELDED 0.03 NG/ML BOTH TIMES. THE ELEVATED RESULTS WERE NOT REPORTED OUT OF THE LABORATORY AND NO CHANGE TO PATIENT TREATMENT WAS REPORTED. THE CUSTOMER USES 0.03 NG/ML AS A CRITICAL VALUE AND REPEAT ALL SAMPLES WITH RESULTS > 0.03 NG/ML.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
312802 ACCESS® ACCUTNI? IMMUNOASSAY METHOD, TROPONIN SUBUNIT MMI BECKMAN COULTER NA 328940

Patients

Seq Age Sex Outcome Treatment
1 43 YR