FDA Adverse Event Malfunction Summary report: N

REAGENT RED BLOOD CELLS BIOTESTCELL® -I 11 PLUS

MDR report key: 14539265 · Received May 30, 2022

Report

Report Number
9610824-2022-00029
Event Type
Malfunction
Date Received
May 30, 2022
Date of Event
April 29, 2022
Report Date
May 30, 2022
Manufacturer
BIO-RAD MEDICAL DIAGNOSTICS GMBH
Product Code
QHT
UDI-DI
07611969952441
PMA / PMN Number
125207
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS IS OUR COMBINED INITIAL AND FINAL REPORT ON THIS INCIDENT.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT CELL #10 OF BIOTESTCELL-I11 PLUS (DONOR (B)(6)) SHOWED A FALSE NEGATIVE REACTION WITH ANTI-KPB. ACCORDING TO THE ANTIGEN TABLE DONOR (B)(6) IS KPA-B+. THE CUSTOMER DID NEITHER PROVIDE THE COMPLAINT SAMPLE BIOTESTCELL-I11 PLUS FOR INVESTIGATIONAL TESTING NOR THE REAGENT THAT HAD CAUSED THE FALSE NEGATIVE TEST RESULT. THEREFORE OUR QUALITY CONTROL LABORATORY TESTED THEIR RETENTION SAMPLE OF BIOTESTCELL-I11 PLUS OF THE SUPPOSEDLY DEFECTIVE LOT WITH THREE DIFFERENT ANTI-KPB. THE USED ANTI-KPB WERE: ANTI-KPB LOT 2038020-00 (FINISHED PRODUCT), ANTI-KPB (HIGH FREQUENT PLASMA) AND ID-ANTIGEN PROFILE II. CELL #10 OF BIOTESTCELL-I11 PLUS SHOWED CLEARLY POSITIVE REACTIONS WITH ALL THREE ANTISERA. BASED ON OUR INVESTIGATION WE COULD NOT CONFIRM THE CUSTOMER'S FINDING. A MISTYPING IN THE ANTIGEN TABLE COULD BE EXCLUDED. A REVIEW OF THE BATCH RECORD DOCUMENTATION SHOWED NO IRREGULARITIES WHICH MIGHT HAVE NEGATIVELY AFFECTED THE QUALITY OF THE ALLEGEDLY DEFECTIVE LOT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1661422 REAGENT RED BLOOD CELLS BIOTESTCELL® -I 11 PLUS BIOTESTCELL®-I 11 PLUS; 11X4ML QHT BIO-RAD MEDICAL DIAGNOSTICS GMBH 9214011-00 07611969952441

Patients

Seq Age Sex Outcome Treatment
1 Unknown