FDA Adverse Event Malfunction Summary report: N

KIT BD MAX ENTERIC VIRAL PANEL

MDR report key: 13064504 · Received December 22, 2021

Report

Report Number
1119779-2021-02014
Event Type
Malfunction
Date Received
December 22, 2021
Date of Event
September 25, 2021
Report Date
March 7, 2022
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
PCH
UDI-DI
00382904439859
PMA / PMN Number
K181427
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY THE COMPLAINT INVESTIGATION FOR DISCREPANT RESULTS WHEN USING THE BD MAX ENTERIC VIRAL PANEL (REF. 443985) LOTS 1146537, 1209714 AND 1251639 WAS PERFORMED BY THE REVIEW OF THE MANUFACTURING RECORDS, ANALYSIS OF THE CUSTOMER¿S DATA AND VERIFICATION OF COMPLAINTS HISTORY. REVIEW OF THE MANUFACTURING RECORDS OF THE BD MAX ENTERIC VIRAL PANEL INDICATED THAT LOTS 1146537, 1209714 AND 1251639 WERE MANUFACTURED ACCORDING TO SPECIFICATIONS AND MET PERFORMANCE REQUIREMENTS. CUSTOMER COMPLAINED OF SUSPECTED FALSE POSITIVE RESULTS FOR SOME SAMPLES. THE DATABASE FROM INSTRUMENT (B)(6) AS WELL AS 10 RUNS WERE PROVIDED FOR THE INVESTIGATION. MANUAL PCR CURVE ADJUDICATION WAS CONDUCTED ON THE RUNS RECEIVED. MANUAL CURVE ADJUDICATION HAS LIMITATIONS; VISUAL EXAMINATION OF PCR CURVES FOR LOW SIGNAL AND/OR ABERRANT CURVE GEOMETRY IS AN EXTREMELY CONSERVATIVE ASSESSMENT OF THE DATA. MOST OF THE POSITIVE RESULTS WERE STRONG POSITIVE, HOWEVER, SOME LATE AND LOW POSITIVE RESULTS WERE ALSO FOUND (2 SAMPLES). LOW POSITIVE SAMPLES CAN OCCUR DUE TO VIRAL TITERS IN THE SPECIMEN BEING AT OR NEAR THE LIMIT OF DETECTION (LOD) OF THE ASSAY OR THROUGH ENVIRONMENTAL OR CROSS CONTAMINATION INTRODUCED DURING THE SAMPLE PREPARATION AT THE CUSTOMER¿S SITE. DATABASE ANALYSIS REVEALED AN INCREASE OF POSITIVE ROV STATUSES IN TIME, NOT ASSOCIATED WITH A SPECIFIC KIT LOT. ANALYSIS SHOWS ALSO THAT IN ADDITION TO THIS INCREASE OF ROV POSITIVE STATUSES, THE RESULTS SUGGESTED AN INCREASE OF SAMPLES LOAD. TESTING SPECIMENS WITH SUCH A HIGH LOAD COULD CAUSE ENVIRONMENTAL OR CROSS CONTAMINATION DURING THE SAMPLE PREPARATION. THIS IS SUSPECTED OF HAVING CAUSED PART OF THE CUSTOMER ISSUE. FOR SEVEN OF THE ADV POS RESULTS, THE AMPLIFICATION CURVES OF THE ADV TARGET STARTED INCREASING AT THE SAME CT, AND PRESENTED THE SAME SHAPE, AS THOSE OF THE ROV TARGET. THESE RESULTS SUGGEST A CROSSTALK PHENOMENON (BLEED OVER) OF THE FAM CHANNEL TO THE VIC CHANNEL. THIS INFORMATION WAS TRANSFERRED TO THE BD TECHNICAL SERVICE FOR FURTHER INVESTIGATION. THERE IS NO INDICATION OF A REAGENT ISSUE BASED ON THE ANALYSIS OF THE COMPLAINTS RECEIVED FOR DISCREPANT RESULTS ON BD MAX ENTERIC VIRAL PANEL PRODUCTS LOTS 1146537, 1209714 AND 1251639. THE ROOT CAUSE WAS NOT IDENTIFIED BUT A CONTAMINATION BY THE CUSTOMER, SAMPLE AT OR NEAR THE LOD AND AN INSTRUMENT CROSS TALK ARE SUSPECTED. BD CANNOT CONFIRM THE COMPLAINT BASED ON THE INVESTIGATION THAT WAS PERFORMED. THIS INFORMATION WAS TRANSFERRED TO THE BD TECHNICAL SERVICE FOR FURTHER INVESTIGATION. BD DID NOT INITIATE A PREVENTIVE AND CORRECTIVE ACTION PLAN SINCE NO REAGENT ISSUE WAS IDENTIFIED. H3 OTHER TEXT : SEE H10.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED WITH ADDITIONAL INFORMATION: D.4. LOT NUMBERS: 1209714, 1146537, 1251639; EXPIRATION DATES: 2022-11-26, 2022-11-19, 2023-02-25; MANUFACTURE DATES: 2021-01-20, 2021-01-20, 2021-01-20.

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. MEDICAL DEVICE EXPIRATION DATE: NA.

Description of Event or Problem · 0

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: " ENTERIC VIRAL PANEL IS SHOWING POSITIVE RESULTS THAT ARE NEGATIVE UPON REPEAT WITH OTHER ASSAY. "

Description of Event or Problem · 0

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: " ENTERIC VIRAL PANEL IS SHOWING POSITIVE RESULTS THAT ARE NEGATIVE UPON REPEAT WITH OTHER ASSAY. "

Description of Event or Problem · 0

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: " ENTERIC VIRAL PANEL IS SHOWING POSITIVE RESULTS THAT ARE NEGATIVE UPON REPEAT WITH OTHER ASSAY. "

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1958703 KIT BD MAX ENTERIC VIRAL PANEL GASTROINTESTINAL PATHOGEN PANEL PCH BECTON, DICKINSON & CO. (SPARKS) 443985 SEE H.10. 00382904439859

Patients

Seq Age Sex Outcome Treatment
1 Unknown