ACCESS 2 IMMUNOASSAY SYSTEM
Received Mar 10, 2005 · Event occurred Feb 3, 2005
Report 2122870-2005-00028 · MDR key 581056
Device
Generic name
Discrete Photometric Chemistry Analyzer
Manufacturer
Beckman Coulter, Inc.Model number
ACCESS 2 IMMUNASSAY SYSTEMCatalog number
81600N
Lot number
NA
Product problems
- Incorrect Or Inadequate Test Results
Patient
NA
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
CONTACTED REGARDING 3 ERRONEOUSLY ELEVATED TROPONIN (ACCU TRL) RESULTS FROM 3 DIFFERENT PTS (A, B AND C) THAT WERE GENERATED BY THE ACCESS 2 INSTRUMENT. PT A HAD AN ELEVATED ACCU. TNL RESULT OF 3.68NG/ML FROM SAMPLE #1 (PLASMA SAMPLE, PRIMARY TUBE). LATER ON THAT DAY, A NEW SERUM SAMPLE (#2) WAS COLLECTED FROM PT A FOR ACCU TNL. THE ACCU TNL RESULT FROM SAMPLE #2 WAS 0.16NG/ML. PT B HAD AN ELEVATED ACCU TNL RESULT OF 0.8NG/ML (PLASMA SAMPLE, PRIMARY TUBE). THE SAMPLE WAS POURED INTO A SAMPLE CUP AND RETESTED FOR ACCU TNL. THE REPEATED ACCU TNL RESULT WAS 0.02NG/ML. PT C HAD AN ELEVATED ACCU TNL RESULT OF 2.51NG/ML (PLASMA SAMPLE, PRIMARY TUBE). THE SAMPLE WAS POURED INTO A SAMPLE CUP AND RETESTED FOR ACCU TNL. THE REPEATED ACCU TNL RESULT WAS 0.21NG/ML. IT IS UNK IF ANY OF THE ELEVATED ACCU TNL RESULT WERE REPORTED OUT OF THE LAB. THE CUSTOMER DID NOT PROVIDE ANY ADDITIONAL INFO REGARDING THIS EVENT. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF PT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PT TREATMENT THAT CAN BE ATTRIBUTED TO THIS EVENT.
Remedial action
- Inspection
- Other