FDA Adverse Event Malfunction Summary report: N

BD PANEL PHOENIX NMIC-311

MDR report key: 14317769 · Received May 7, 2022

Report

Report Number
1119779-2022-00664
Event Type
Malfunction
Date Received
May 7, 2022
Date of Event
February 16, 2022
Report Date
July 7, 2022
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
LON
PMA / PMN Number
SEE H.10
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
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 WERE MULTIPLE 510K NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR THE ADDITIONAL 510K IS AS FOLLOWS: 510K#:K032299. K061355. K061327. K031912. K023444. K063824. K033560. K063573. K041384. K060217. K052269. K190905. K032655. K062944. K060444. K173252. K033362. K062207. K063811. K163637. K151320. K063301. K031530. K060447. K032567. K060257. K023634. K123404. K020322. K132674. K173523. K063486. K022129. K023858. K071623 K031699. K060447. K024153. K060214. K132909. K042932.

Additional Manufacturer Narrative · 0

THIS MDR WAS SUBMITTED TO CANCEL PREVIOUS MDRS. THE COMPLAINT IN QUESTION WAS REGARDING CAP SURVEYS WHICH DO NOT INVOLVE PATIENT SAMPLES. THIS COMPLAINT SHOULD BE CONSIDERED CANCELLED.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D.4. MEDICAL DEVICE EXPIRATION DATE: 28FEB2023 H.4. DEVICE MANUFACTURE DATE:15FEB2022.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING WITH BD PANEL PHOENIX NMIC-311 A FALSE SUSCEPTIBLE RESULT WAS REPORTED. 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: IT WAS REPORTED BY THE CUSTOMER THAT CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP.. SEQUENCE NUMBER - 504521112445 CUSTOMER PROBLEM: CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP. FIRST RUN OF SAMPLE OCCURRED ON 2/16 PROTEUS MIRABILIS RESULTED AS =4 (SENSITIVE) WHEN IT SHOULD HAVE BEEN RESISTANT, AS PER CAP'S EXPECTATIONS. CUSTOMER HAS RUN THE ORGANISM ON THEIR M50 A TOTAL OF THREE TIMES AND RECEIVED THE SAME RESULT EACH TIME. THEY THEN REPEATED IT ON THEIR MICROSCAN ONCE - THE RESULT WAS RESISTANT. CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING WITH BD PANEL PHOENIX NMIC-311 A FALSE SUSCEPTIBLE RESULT WAS REPORTED. 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: IT WAS REPORTED BY THE CUSTOMER THAT CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP.. 2/15 - SEQUENCE NUMBER - 504521117058. § CUSTOMER PROBLEM: CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP. FIRST RUN OF SAMPLE OCCURRED ON 2/15/22. PROTEUS MIRABILIS RESULTED AS =4 (SENSITIVE) WHEN IT SHOULD HAVE BEEN RESISTANT, AS PER CAP'S EXPECTATIONS. CUSTOMER HAS RUN THE ORGANISM ON THEIR M50 A TOTAL OF THREE TIMES AND RECEIVED THE SAME RESULT EACH TIME. THEY THEN REPEATED IT ON THEIR MICROSCAN ONCE - THE RESULT WAS RESISTANT. CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING WITH BD PANEL PHOENIX NMIC-311 A FALSE SUSCEPTIBLE RESULT WAS REPORTED. 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: IT WAS REPORTED BY THE CUSTOMER THAT CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP.. 2/16 - SEQUENCE NUMBER - 504521112445 § CUSTOMER PROBLEM: CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP. FIRST RUN OF SAMPLE OCCURRED ON 2/16 PROTEUS MIRABILIS RESULTED AS =4 (SENSITIVE) WHEN IT SHOULD HAVE BEEN RESISTANT, AS PER CAP'S EXPECTATIONS. CUSTOMER HAS RUN THE ORGANISM ON THEIR M50 A TOTAL OF THREE TIMES AND RECEIVED THE SAME RESULT EACH TIME. THEY THEN REPEATED IT ON THEIR MICROSCAN ONCE - THE RESULT WAS RESISTANT. CUSTOMER REPORTS CAP FAILURE WHEN USING NMIC-311 - 449252, LOT #2046646. PROTEUS MIRABILIS RESULT FAILURE WAS FOR AMPICILLIN, COMING IN AT LESS THAN OR EQUAL TO 4 - SENSITIVE - WHEN IT SHOULD HAVE RESULTED AS RESISTANT, ACCORDING TO CAP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1234485 BD PANEL PHOENIX NMIC-311 SYSTEM, TEST, AUTOMATED ANTIMICROBIAL SUSCEPTIBILITY LON BECTON, DICKINSON & CO. (SPARKS) 1355006

Patients

Seq Age Sex Outcome Treatment
1 Unknown