FDA Adverse Event Malfunction Summary report: N

GALILEO

MDR report key: 1004473 · Received March 3, 2008

Report

Report Number
1034569-2007-00311
Event Type
Malfunction
Date Received
March 3, 2008
Date of Event
October 31, 2007
Report Date
November 27, 2007
Manufacturer
IMMUCOR, INC.
Product Code
KSZ
PMA / PMN Number
BK040013
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

THE SOFTWARE PATCH FOR THE FWD ABO ASSAY WAS INSTALLED ON THIS INSTRUMENT ON 10/16/07. CONTAMINATION OF THE REAGENT CAN BE RULED OUT BY THE FACT THAT THERE HAVE NOT BEEN NTDS OR UNEXPECTED REACTIONS SEEN WITH THE ABORH ASSAY. ACCORDING TO THE GALILEO OPERATOR MANUAL, FORWARD ONLY ABO-RH TESTING HAS A HIGHER RISK OF MISTYPE DUE TO THE ABSENCE OF THE REVERSE TYPE RESULTS. HAZARDOUS MISTYPES MAY OCCUR, SUCH AS AN A SAMPLE BEING INTERPRETED AS A GROUP AB, OR AN RH (D) NEGATIVE SAMPLE BEING INTERPRETED AS RH(D) POSITIVE. FOR THIS REASON, ABO-RH RESULTS SHOULD ALWAYS BE COMPARED TO THE PATIENT OR DONOR'S HISTORY.

Description of Event or Problem · 1

CUSTOMER REPORTED 3 SAMPLES THAT WERE HISTORICALLY A NEGATIVE HAVE TYPED AS AB NEGATIVE ON GALILEO. THE FWD ABO ASSAY WAS USED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GALILEO AUTOMATED BLOOD BANK ANALYZER KSZ IMMUCOR, INC.

Patients

Seq Age Sex Outcome Treatment
1