FDA Adverse Event Malfunction Summary report: N

GALILEO

MDR report key: 1367500 · Received April 23, 2009

Report

Report Number
1034569-2009-00154
Event Type
Malfunction
Date Received
April 23, 2009
Date of Event
March 26, 2009
Report Date
April 21, 2009
Manufacturer
IMMUCOR
Product Code
KSZ
PMA / PMN Number
BK040013
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER NOTICED THAT THE FLATFIELD WAS DIRTY; THE MIRROR AND LIGHT DIFFUSER WERE CLEANED. FWD_ABORH TESTING WAS PERFORMED WITH IN-HOUSE DONOR SAMPLES OF KNOWN ABO/RH TYPES, USING RETENTION ANTI-B SERIES 3 LOT 203252, ON THE IN-HOUSE GALILEO. NO ABO DISCREPANCIES WERE OBSERVED. THE GALILEO OPERATOR MANUAL STATES THAT FORWARD ONLY ABO-RH TESTING HAS A HIGHER RISK OF MISTYPE DO TO THE ABSCENCE OF THE REVERSE TYPE RESULTS. FOR THIS REASON ABO-RH RESULTS SHOULD ALWAYS BE COMPARED TO THE PATIENT OR DONOR'S HISTORY.

Description of Event or Problem · 1

CUSTOMER REPORTED AN ABO DISCREPANCY ON THE GALILEO. ON THE FWD_ABO ASSAY, A DONOR UNIT SEGMENT TYPED AS AB NEGATIVE, BUT THE DONOR IS A KNOWN A NEGATIVE DONOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GALILEO AUTOMATED BLOOD BANK ANALYZER KSZ IMMUCOR

Patients

Seq Age Sex Outcome Treatment
1