FDA Adverse Event Malfunction Summary report: N

BD FACSPRESTO

MDR report key: 11771185 · Received May 4, 2021

Report

Report Number
2916837-2021-00218
Event Type
Malfunction
Date Received
May 4, 2021
Date of Event
April 8, 2021
Report Date
September 7, 2021
Manufacturer
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
Product Code
GKL
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

AFTER FURTHER EVALUATION OF THE COMPLAINT, IT HAS BEEN DETERMINED THAT THE PREVIOUSLY SUBMITTED MFR REPORT# 2916837-2021-00218 WAS SENT IN ERROR. THE CUSTOMER LATER CONFIRMED THAT THE FACSPRESTO DID NOT HAVE ISSUES THE ISSUE WAS DISCOVERED TO BE WITH ANOTHER HEMATOLOGY ANALYZER, THEREFORE, THE INSTRUMENT HAD NO REPORTED ERROR AND WOULD NOT BE REPORTABLE.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING PATIENT SAMPLES WITH BD FACSPRESTO¿ ERRONEOUS HB RESULTS WERE OBTAINED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE INSTRUMENT IS REPORTED TO GIVE WRONG HB RESULTS.

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 TESTING PATIENT SAMPLES WITH BD FACSPRESTO¿ ERRONEOUS HB RESULTS WERE OBTAINED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE INSTRUMENT IS REPORTED TO GIVE WRONG HB RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
670468 BD FACSPRESTO NA GKL BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES

Patients

Seq Age Sex Outcome Treatment
1