FDA Adverse Event Malfunction Summary report: N

BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED

MDR report key: 12594938 · Received October 7, 2021

Report

Report Number
1119779-2021-01622
Event Type
Malfunction
Date Received
October 7, 2021
Date of Event
September 10, 2021
Report Date
March 30, 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
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: CUSTOMER REPORTED AN ISSUE ON A BD BACTEC FX TOP INSTRUMENT (P/N 441385, (B)(6) ). CUSTOMER INDICATED ABOUT THE FALSE POSITIVES. NO ERRONEOUS RESULTS WERE REPORTED TO DOCTORS, AND PATIENTS WERE NOT IMPACTED. BD REMOTE ASSISTANCE COMMUNICATED WITH THE CUSTOMER REMOTELY AND UPGRADED THE SOFTWARE TO V6.40. THIS IS A CONFIRMED FAILURE OF THE BD PRODUCT. REVIEW OF DEVICE HISTORY RECORD FOR THIS INSTRUMENT IS NOT REQUIRED BECAUSE THIS COMPLAINT DOES NOT ALLEGE AN EARLY LIFE FAILURE OR FAILURE AT INSTALLATION AND HAS CHANGED CONFIGURATION SINCE RELEASE FROM MANUFACTURING DUE TO SERVICE REPAIRS/PMS. DEVICE WAS INSTALLED ON 10/2/2014. SERVICE HISTORY REVIEW WAS PERFORMED FOR THIS INSTRUMENT AND NO ADDITIONAL WORK ORDERS WERE OBSERVED FOR THE COMPLAINT FAILURE MODE REPORTED. SAMPLES WERE NOT RECEIVED BY QUALITY FOR INVESTIGATION. IF SAMPLES ARE RECEIVED AT A LATER DATE, THE COMPLAINT MAY BE REOPENED. THE ROOT CAUSE WAS SOFTWARE ISSUE. CAPA (CORRECTIVE AND PREVENTIVE ACTION) 1233452 WAS RECENTLY IMPLEMENTED FOR FALSE POSITIVES. BD QUALITY WILL CONTINUE TO CLOSELY MONITOR FOR TRENDS ASSOCIATED WITH THIS FAILURE. H3 OTHER TEXT : SEE H10.

Additional Manufacturer Narrative · 0

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 · 0

IT WAS REPORTED THAT THE BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGE PRODUCED A FALSE POSITIVE RESULT. THERE WAS NO INDICATION OF CONFIRMATORY TESTING, OR THAT RESULTS WERE REPORTED TO CLINICIANS. THERE WAS ALSO NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: BLOOD CULTURE FALSE POSITIVES.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGE PRODUCED A FALSE POSITIVE RESULT. THERE WAS NO INDICATION OF CONFIRMATORY TESTING, OR THAT RESULTS WERE REPORTED TO CLINICIANS. THERE WAS ALSO NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: BLOOD CULTURE FALSE POSITIVES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1488692 BD BACTEC¿ FX, INSTRUMENT TOP, PACKAGED BLOOD CULTURING SYSTEM MDB BECTON, DICKINSON & CO. (SPARKS) 441385 00382904413859

Patients

Seq Age Sex Outcome Treatment
1 Unknown