FDA Adverse Event Malfunction Summary report: N

BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT

MDR report key: 12456052 · Received September 10, 2021

Report

Report Number
3007420875-2021-00051
Event Type
Malfunction
Date Received
September 10, 2021
Date of Event
August 13, 2021
Report Date
February 21, 2022
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
OOI
PMA / PMN Number
K181427
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED. 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 KIT BD MAX ENTERIC VIRAL PANEL CATALOG NUMBER 4403985 WHICH HAS 510K NUMBER K181427.

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: THE COMPLAINT ALLEGES THE BD MAX INSTRUMENT (CATALOG NUMBER 441916 AND SERIAL NUMBER (B)(6) ) HAD A "FALSE POSITIVE" RESULT. CUSTOMER REPORTED RECEIVING FALSE POSITIVE RESULTS ON NORO FOR EVP ASSAY. REVIEW OF THE DATABASE SHOWS THAT IN THE RAW DATA CURVE, THERE WERE WEAK BUT TRUE AMPLIFICATION. CURVES WERE SHAKY BUT STILL TRENDING UPWARD. FOLLOW-UP ON WITH THE CUSTOMER CONCLUDED THAT THE CUSTOMER BELIEVED THAT THE INCIDENT WAS WORKFLOW RELATED. CUSTOMER BELIEVED THAT THEY HAD OVER-INOCULATE THE SAMPLE. NO ACTION WAS TAKEN FOR THIS COMPLAINT. REVIEW OF DEVICE HISTORY RECORD FOR INSTRUMENT SERIAL NUMBER, (B)(6) IS NOT REQUIRED BECAUSE THIS COMPLAINT DOES NOT ALLEGE AN EARLY LIFE FAILURE OR A FAILURE AT INSTALL. DEVICE WAS INSTALLED ON (B)(6) 2020, AND SINCE THEN OTHER SERVICE ACTIVITIES HAVE OCCURRED, SUCH AS PREVENTATIVE MAINTENANCE AND REPAIR, WHICH HAVE CHANGED THE CONFIGURATION OF THE INSTRUMENT SINCE RELEASE FROM MANUFACTURING. SERVICE HISTORY REVIEW WAS PERFORMED FOR THE INSTRUMENT (B)(6) AND NO ADDITIONAL WORK ORDER WAS OBSERVED FOR THE FAILURE MODE REPORTED. NO SAMPLES WERE EXPECTED TO BE RETURNED FOR INVESTIGATION, THEREFORE RETURN SAMPLE ANALYSIS IS NOT REQUIRED. ROOT CAUSE CANNOT BE DETERMINED WITH THE INFORMATION PROVIDED. COMPLAINT IS UNCONFIRMED BASED ON REVIEW OF LOG FILE AND CUSTOMER FEEDBACK. REVIEW OF RISK MANAGEMENT FILES CONFIRMS THERE ARE NO NEW, MODIFIED, OR ADDITIONAL RISKS ASSOCIATED WITH THIS FAILURE MODE. BD QUALITY WILL CONTINUE TO MONITOR TRENDS ASSOCIATED WITH THIS FAILURE MODE.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE 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 CEPHEID 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: "NORO POSITIVE, NEGATIVE ON CEPHEID". D.1. DEVICE BRAND NAME: BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT. D.2. COMMON DEVICE NAME: INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS; PRODUCT CODE: OOI. D.3. MANUFACTURING SITE: BECTON, DICKINSON & CO. (SPARKS). D.4. CATALOG NUMBER: 441916; SERIAL NUMBER: (B)(6); UDI NUMBER: (B)(4). G.1. MANUFACTURING SITE: BECTON, DICKINSON & CO. (SPARKS). G.4. PMA/510K#: K111860, K130470.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING KIT BD MAX ENTERIC VIRAL PANEL-NR EU FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. A CEPHEID 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: "NORO POSITIVE, NEGATIVE ON CEPHEID"

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 CEPHEID 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: "NORO POSITIVE, NEGATIVE ON CEPHEID".

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 CEPHEID 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: "NORO POSITIVE, NEGATIVE ON CEPHEID".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1352468 BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS OOI BECTON, DICKINSON & CO. (SPARKS) 1039578
1352469 BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS OOI BECTON, DICKINSON & CO. (SPARKS) 1039578

Patients

Seq Age Sex Outcome Treatment
1 Unknown