FDA Adverse Event Malfunction Summary report: N

BENCHMARK XT

MDR report key: 1053470 · Received May 28, 2008

Report

Report Number
2028492-2008-00003
Event Type
Malfunction
Date Received
May 28, 2008
Date of Event
April 30, 2008
Manufacturer
VENTANA MEDICAL SYSTEMS, INC.
Product Code
KPA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRELIMINARY ANALYSIS INDICATES THE HEATER PADS WERE NOT OPERATING PROPERLY AND NEEDED TO BE REPLACED. THE INVESTIGATION IS ON-GOING.

Description of Event or Problem · 1

AN ADVERSE TREND FOR LIGHT STAINING AND INCONSISTENT STAINING WAS OBSERVED THROUGH MONITORING AND ANALYSIS OF INSTRUMENT SERVICE DATA. THE RISK ASSESSMENT PROCESS REQUESTED MEDICAL OPINION INDICATING THAT IF SAME SLIDE CONTROLS ARE NOT USED, THERE IS A POTENTIAL FOR A FALSE NEGATIVE RESULT. THE USE OF SAME SLIDE CONTROLS IS IN ALIGNMENT WITH THE (B) (4) AND THE (B) (4) AS STATED IN THE FEDERAL REGISTRY (SECTION 493. 1273; VOLUME 68, #16; 01/24/2003; PAGE 3709). THERE HAS BEEN NO REPORT OF MISDIAGNOSIS OR DELAY IN TREATMENT ASSOCIATED WITH THIS ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BENCHMARK XT KPA - AUTOMATED STAINER KPA VENTANA MEDICAL SYSTEMS, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK