WALKAWAY 96 PLUS N/A B1018-284

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2015-08-25 for WALKAWAY 96 PLUS N/A B1018-284 manufactured by Beckman Coulter.

Event Text Entries

[24797995] The data for the high probability identification of escherichia coli was not available as the customer did not know the specimen number or patient id. The manufacturer field service engineer (fse) confirmed the peptidase (pep) solenoid valve was defective. The fse replaced the peptidase solenoid valve and the system is fully operational. The possible cause of the reported reagent splashing and resulting in identification discrepancies was likely the defective peptidase reagent solenoid valve. No report of any further issues post repair of the instrument. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[24797996] It was reported that reagent drops were observed on the panels when removed from the walkaway plus instrument. One of the specimen on neg urine combo 51 panel resulted to high probability escherichia coli when it should have been acinetobacter. A second isolate from the same specimen was run and acinetobacter was obtained. The result of escherichia coli was not reported out of the laboratory. Another specimen also resulted to low probability identification. Identification not provided by the customer. However the result should have been acinetobacter based on visual observation of the plate. The results were edited prior to reporting. Customer technical support advised the customer to examine the dispense system. It was reported that the dispense head of the dispense system was dry and tubings appeared to be adjusted correctly. The customer tested each reagent valve and observed only drops of peptidase (pep) were being dispensed. The rest of the reagent valves were dispensing properly. There was no report of patient injury or change to patient treatment attributed with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2919016-2015-00106
MDR Report Key5029653
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2015-08-25
Date of Report2015-07-28
Date of Event2015-07-27
Date Mfgr Received2015-07-28
Device Manufacturer Date2013-03-11
Date Added to Maude2015-08-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactNORMA RAHILL
Manufacturer Street1584 ENTERPRISE BLVD
Manufacturer CityWEST SACRAMENTO CA 95691
Manufacturer CountryUS
Manufacturer Postal95691
Manufacturer Phone9163742139
Manufacturer G1BECKMAN COULTER
Manufacturer Street2040 ENTERPRISE BLVD
Manufacturer CityWEST SACRAMENTO CA 95691
Manufacturer CountryUS
Manufacturer Postal Code95691
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameWALKAWAY 96 PLUS
Generic NameINSTRUMENT FOR AUTO READER & INTERPRETATION OF OVERNIGHT SUSCEPT. SYSTEMS
Product CodeLRG
Date Received2015-08-25
Model NumberN/A
Catalog NumberB1018-284
Lot NumberN/A
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address2040 ENTERPRISE BLVD WEST SACRAMENTO CA 95691 US 95691


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-25

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