inforMED
MalfunctionJZJ

IMMAGE IMMUNOCHEMISTRY SYSTEM

Received Jun 17, 2011 · Event occurred May 14, 2011

Report 2050012-2011-02349 · MDR key 2132117

Device

Generic name

Nephelometer/immunochemistry Systems

Model number

IMMAGE

Catalog number

470000

Lot number

N/A

Product problems

  • High Test Results

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUS HIGH PREALBUMIN (PAB) RESULTS GENERATED BY THE IMMAGE IMMUNOCHEMISTRY SYSTEM. THE RESULTS WERE REPORTED OUT OF THE LABORATORY. THE SAMPLES WERE REPEATED AND LOWER RESULTS WERE OBTAINED. PATIENT TREATMENT WAS NOT IMPACTED BY THIS EVENT.

Additional Manufacturer Narrative

SAMPLE INFORMATION WAS NOT PROVIDED. CALIBRATION RESULTS FROM (B)(4) 2011 WERE ACCEPTABLE. QC RESULTS ON (B)(4) 2011 WERE OUT OF RANGE HIGH FOR IGG AND PAB FOR LEVEL 1. REPEAT TESTING BROUGHT THE RESULTS BACK WITHIN RANGE. NO OTHER CHEMISTRY ISSUES OR SYSTEM ERRORS WERE NOTED. ON (B)(4) 2011 A BCI FIELD SERVICE ENGINEER (FSE) INSPECTED THE INSTRUMENT AND NOTED: QC IS WORKING PROPERLY. NO SIGNS OF HARDWARE ISSUES WERE NOTED. ADVISED THE CUSTOMER TO RUN PAB QC AT THE START OF THE DAY AND AT THE END F THE PATIENT RUN. NO ADDITIONAL ISSUES WERE REPORTED OR NOTED. ISSUE WAS RESOLVED BY RECALIBRATING.

Remedial action

  • Other
  • Inspection