FDA Adverse Event Malfunction Summary report: N

BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED

MDR report key: 12178132 · Received July 15, 2021

Report

Report Number
1119779-2021-01180
Event Type
Malfunction
Date Received
July 15, 2021
Date of Event
June 18, 2021
Report Date
March 1, 2022
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
MDB
UDI-DI
00382904413859
PMA / PMN Number
K915796
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION: CUSTOMER COMPLAINT ALLEGES FALSE POSITIVE OF BACTEC FX 441385 SN (B)(6). FIELD SERVICE ENGINEERING WENT ONSITE TO INVESTIGATE AND FOUND THE SOFTWARE OF THE FX TO BE OUTDATED. THIS IS A CONFIRMED FAILURE. CAPA#1233452 ADDRESSES ISSUES WITH PREVIOUS SOFTWARE VERSIONS TO STRENGTHEN THE SYSTEMS ABILITIES TO DISTINGUISH ANOMALIES/INTERFERENCE THAT ARE NOT TRUE POSITIVE SIGNALS. UPDATING THE SOFTWARE SOLVED THIS ISSUE. THERE WAS NO SAMPLE RETURNED FOR ANALYSIS, AND DEVICE HISTORY REVIEW IS NOT REQUIRED AS THIS COMPLAINT DOES NOT ALLEGE EARLY LIFE FAILURE. NO NEW HAZARDS OR RISKS HAVE BEEN IDENTIFIED. BD QUALITY WILL CONTINUE TO MONITOR FOR FUTURE FAILURES.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A GRAM STAIN AND SUBCULTURE WERE USED TO CONFIRM THE RESULTS AS FALSE POSITIVES. THE CUSTOMER STATED THERE WAS NO PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CUSTOMER REPORTS SEVERAL FALSE POSITIVE RESULTS IN DRAWER A."

Additional Manufacturer Narrative · 1

A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHILE USING BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A GRAM STAIN AND SUBCULTURE WERE USED TO CONFIRM THE RESULTS AS FALSE POSITIVES. THE CUSTOMER STATED THERE WAS NO PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CUSTOMER REPORTS SEVERAL FALSE POSITIVE RESULTS IN DRAWER A."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1071484 BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED SYSTEM, BLOOD CULTURING MDB BECTON, DICKINSON & CO. (SPARKS) 441385 00382904413859

Patients

Seq Age Sex Outcome Treatment
1 Unknown