FDA Adverse Event Malfunction Summary report: N

BD FACSLYRIC

MDR report key: 11766659 · Received May 3, 2021

Report

Report Number
2916837-2021-00215
Event Type
Malfunction
Date Received
May 3, 2021
Date of Event
April 12, 2021
Report Date
July 29, 2021
Manufacturer
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
Product Code
OYE
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

AFTER FURTHER REVIEW MFR# 2916837-2021-00215 IS NO LONGER REPORTABLE. THIS DEVICE IS FOR RESEARCH USE ONLY AND IS NOT BEING USED FOR DIAGNOSTIC TESTING OR PATIENT TREATMENT AND IS THEREFORE NOT SUBJECT TO MDR REPORTING.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD FACSLYRIC¿ CARRYOVER OCCURRED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: FACSLYRIC 3L10C INSTRUMENT - CARRY OVER.

Additional Manufacturer Narrative · 1

MEDICAL DEVICE EXPIRATION DATE: NA. A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED WHILE USING BD FACSLYRIC¿ CARRYOVER OCCURRED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: FACSLYRIC 3L10C INSTRUMENT - CARRY OVER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
663935 BD FACSLYRIC NA OYE BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES NA

Patients

Seq Age Sex Outcome Treatment
1