FDA Adverse Event Malfunction Summary report: N

BD MAX¿ SYSTEM, BD MAX¿

MDR report key: 12328265 · Received August 16, 2021

Report

Report Number
3007420875-2021-00042
Event Type
Malfunction
Date Received
August 16, 2021
Date of Event
July 29, 2021
Report Date
January 20, 2022
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
OOI
UDI-DI
00382904439859
PMA / PMN Number
K181427
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: THE COMPLAINT OF "FALSE POSITIVE" WAS REPORTED AGAINST THE BD MAX INSTRUMENT CATALOG NUMBER 441916, SERIAL NUMBER (B)(6). CUSTOMER REPORTED RECEIVING FALSE POSITIVE RESULTS ON EVP NOV. FIELD SERVICE WAS DISPATCHED. FIELD SERVICE REPLACED THE STEPPER MOTOR ON READER B, NORMALIZED READER A, AND CLEAN BOTH READER. INSTRUMENT WAS RETURNED TO CUSTOMER FUNCTIONAL. NO PARTS WERE RETURNED TO BD FOR INVESTIGATION. COMPLAINT WAS CONFIRMED. ROOT CAUSE CANNOT BE DETERMINED WITH THE INFORMATION PROVIDED. INVESTIGATION CONSISTED OF A REVIEW OF THE INSTRUMENT INSTALLATION, SERVICE HISTORY, AND RELATED COMPLAINT DATA. NO NEW RISKS, TRENDS, OR HAZARDS WERE IDENTIFIED. BD WILL CONTINUALLY MONITOR FOR TREND.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS HAVE BEEN UPDATED WITH CORRECTIONS: B.5. EVENT DESCRIPTION: IT WAS REPORTED THAT WHILE USING BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A REPEAT TEST WAS USED TO CONFIRM THE RESULTS AS FALSE POSITIVES. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUT AND THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER "SINCE NEW KIT HAVE FOUND PROBABLY FALSE POSITIVES." D.1. DEVICE BRAND NAME: BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT. D.2. PRODUCT CODE: OOI; COMMON DEVICE NAME: INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS. D.3. DEVICE MANUFACTURER: BECTON, DICKINSON & CO. (SPARKS). D.4. DEVICE CATALOG NUMBER: 441916; DEVICE SERIAL NUMBER: (B)(6) .

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A REPEAT TEST WAS USED TO CONFIRM THE RESULTS AS FALSE POSITIVES. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUT AND THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER "SINCE NEW KIT HAVE FOUND PROBABLY FALSE POSITIVES.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT ¿FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A REPEAT TEST WAS USED TO CONFIRM THE RESULTS AS FALSE POSITIVES. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUT AND THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "SINCE NEW KIT HAVE FOUND PROBABLY FALSE POSITIVES."

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 KIT BD MAX ENTERIC VIRAL PANEL FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A REPEAT TEST WAS USED TO CONFIRM THE RESULTS AS FALSE POSITIVES. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUT AND THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER "SINCE NEW KIT HAVE FOUND PROBABLY FALSE POSITIVES."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1220801 BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS OOI BECTON, DICKINSON & CO. (SPARKS) 443985 1074267 00382904439859
1220807 BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS OOI BECTON, DICKINSON & CO. (SPARKS) 443985 1074267 00382904439859

Patients

Seq Age Sex Outcome Treatment
1 Unknown