BD BACTEC FX TOP SERVICE CONTRACT 5 DAY
Report
- Report Number
- 1119779-2021-01344
- Event Type
- Malfunction
- Date Received
- August 10, 2021
- Date of Event
- July 15, 2021
- Report Date
- March 9, 2022
- Manufacturer
- BECTON, DICKINSON & CO. (SPARKS)
- Product Code
- MDB
- PMA / PMN Number
- K915796A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
H6: INVESTIGATION SUMMARY CUSTOMER COMPLAINT ALLEGES OF FALSE POSITIVES FOR THEIR BACTEC FX 441385 SN: (B)(6). VIALS WERE MANUALLY VERIFIED AS FALSE POSITIVE PRIOR TO TREATMENT, SO NO PATIENTS WERE AFFECTED. BD SUPPORT TEAM PULLED THE LOG FILES OF THE INSTRUMENT AND REVIEWED FOR FAILURE. THE ROOT CAUSE WAS FOUND TO BE A SOFTWARE ALGORITHM THAT TRIGGERED THE FALSE POSITIVES. BD CURRENTLY HAS ADDRESSED THIS ISSUE IN A CAPA 1233452 AND RELEASED UPDATED SOFTWARE VERSIONS. BD SUPPORT UPDATED THE MACHINE REMOTELY AND THE CASE HAS CLOSED. THIS IS A CONFIRMED COMPLAINT. DEVICE HISTORY REVIEW IS NOT APPLICABLE AS THIS DOES NOT ALLEGE AN EARLY LIFE FAILURE, AND NO SAMPLES WERE RETURNED FOR ANALYSIS. REVIEW OF RISK MANAGEMENT FILES CONFIRMS THERE ARE NO NEW OR MODIFIED RISKS ASSOCIATED WITH THIS FAILURE MODE. BD QUALITY WILL CONTINUE TO MONITOR FOR TRENDS ASSOCIATED WITH THE FAILURE MODE DESCRIBED IN THIS COMPLAINT. H3 OTHER TEXT : SEE H10.
IT WAS REPORTED THAT WHILE USING BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A GRAM STAIN WAS 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: " FALSE POSITIVE ON BACETX FX400. "
A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED. MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. DEVICE MANUFACTURE DATE: UNKNOWN. THERE IS NO 510(K) FOR THIS DEVICE AS IT IS MANUFACTURED OUTSIDE THE US AND NOT SOLD IN THE US BUT IS CONSIDERED TO BE SUBSTANTIALLY SIMILAR TO THE LEGALLY U.S. MARKETED DEVICE BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED CATALOG NUMBER 441385 WHICH HAS 510K NUMBER K915796A.
IT WAS REPORTED THAT WHILE USING BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A GRAM STAIN WAS 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: "FALSE POSITIVE ON BACETX FX400."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1201962 | BD BACTEC FX TOP SERVICE CONTRACT 5 DAY | SYSTEM, BLOOD CULTURING | MDB | BECTON, DICKINSON & CO. (SPARKS) | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |