inforMED
MalfunctionDEM

IMAGE IMMUNOCHEMISTRY SYSTEM ALPHA-1-ANTITRYPSIN (AAT)

Received Nov 18, 2011 · Event occurred Sep 25, 2011

Report 2050012-2011-07625 · MDR key 2342629

Device

Generic name

Immunochemical, Ceruloplasmin

Model number

IMMAGE AAT REAGENT

Catalog number

447740

Lot number

M105003

Product problems

  • Incorrect Or Inadequate Test Results
  • Device Operates Differently Than Expected

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

CUSTOMER CALLED TO REPORT THAT THE IMMAGE 800 IMMUNOCHEMISTRY SYSTEM GENERATED ERRONEOUS ALPHA-ANTITRYPSIN (AAT) RESULTS. CUSTOMER ALSO REPORTED LOW QUALITY CONTROL RECOVERY. THE ROOT CAUSE COULD NOT BE DETERMINED; HOWEVER, IT APPEARS AS THOUGH THIS WAS A REAGENT-SPECIFIC ISSUE, AND NOT AN INSTRUMENT ISSUE, AS THE PROBLEMS OCCURRED ONCE THIS REAGENT LOT WAS USED. A SERVICE REQUEST WAS NOT GENERATED. CUSTOMER STATED THAT ALTHOUGH ERRONEOUS RESULTS WERE GENERATED, PATIENT TREATMENT WAS NOT AFFECTED.

Additional Manufacturer Narrative

THE ROOT CAUSE OF THE ISSUE WAS NOT DETERMINED, BUT IT APPEARS AS THOUGH THE ISSUE WAS REAGENT-SPECIFIC. (NOTE: THE BECKMAN COULTER, INC. IDENTIFIER FOR THIS REPORT IS (B)(4)). REAGENT-SPECIFIC ISSUE.