FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 3850023 · Received June 4, 2014

Report

Report Number
2122870-2014-00420
Event Type
Malfunction
Date Received
June 4, 2014
Date of Event
May 13, 2014
Report Date
May 13, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE ENGINEER (FSE) DISCOVERED EVIDENCE OF AN UNKNOWN FLUID LEAK AT THE BOTTOM OF THE SUBSTRATE PUMP. NO INJURY FROM THE LEAK WAS REPORTED. THE FSE NOTED DRIED SUBSTRATE BUILDUP AT THE HEXAGONAL PISTON GUIDE CAP THAT RETAINS THE SUBSTRATE PISTON. THE FSE ALSO NOTED A SMALL FRACTURE IN THE PUMP HOUSING AND REPLACED THE COMPLETE SUBSTRATE PUMP TO RESOLVE THE ISSUE. THE INSTRUMENT CONFORMED TO THE MANUFACTURER'S PUBLISHED PERFORMANCE SPECIFICATIONS AND WAS RETURNED TO NORMAL OPERATION. IN CONCLUSION, A DEFINITIVE CAUSE OF THE EVENT IS UNKNOWN. IT IS UNCERTAIN WHETHER THE FLUID LEAK WAS CAUSED BY AN UNDER-TORQUED CAP OR BY THE SMALL FRACTURE IN THE PUMP HOUSING. (B)(4).

Description of Event or Problem · 1

THE AFFILIATE STATED THE CUSTOMER REPORTED SAMPLE COUNTS OUTSIDE LIMITS SYSTEM ERROR INVOLVING THE ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER STATED NO ERRONEOUS PATIENT RESULTS WERE GENERATED. THERE WAS NO PATIENT IMPACT ASSOCIATED WITH THIS EVENT. A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO ASSESS THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
326160 ACCESS 2 IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1