FDA Adverse Event Malfunction Summary report: N

ACCESS 2 IMMUNOASSAY SYSTEM

MDR report key: 3974313 · Received August 1, 2014

Report

Report Number
2122870-2014-00554
Event Type
Malfunction
Date Received
August 1, 2014
Date of Event
July 3, 2014
Report Date
July 8, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K922823/A007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE ENGINEER (FSE) PERFORMED SUBSTRATE DECONTAMINATION AND REPLACED THE SUBSTRATE PROBE BUT THE ISSUE REMAINED. THE FSE THEN REPLACED THE SUBSTRATE PUMP AND NOTED SUBSEQUENT SYSTEM CHECK PASSED ALL SPECIFICATIONS. THE INSTRUMENT CONFORMED TO THE MANUFACTURER'S PUBLISHED PERFORMANCE SPECIFICATIONS AND WAS RETURNED TO NORMAL OPERATION. IN CONCLUSION, THE LIKELY CAUSE OF THE EVENT IS ATTRIBUTED TO THE SUBSTRATE PUMP. A DEFINITIVE ROOT CAUSE IS UNKNOWN. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED FAILED SYSTEM CHECKS FOR THE WASHED MEAN PORTION AND HIGH COEFFICIENT OF VARIATION (%CV) INVOLVING THE ACCESS 2 IMMUNOASSAY SYSTEM. THE CUSTOMER PERFORMED SYSTEM TROUBLESHOOTING AND NOTED THERE WERE NO SYSTEM ISSUES. BECKMAN COULTER GUIDED THE CUSTOMER THROUGH REPLACING THE PERISTALTIC PUMP TUBING BUT THE ISSUE REMAINED. THE CUSTOMER STATED PATIENT SAMPLES WERE NOT ANALYZED AT THE TIME OF THE EVENT. PATIENT RESULTS WERE NOT IMPACTED. THERE WAS NO PATIENT INJURY ASSOCIATED WITH THIS EVENT. SERVICE WAS REQUESTED AND A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO ASSESS THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
450019 ACCESS 2 IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1