FDA Adverse Event Malfunction Summary report: N

BD FACSCALIBUR¿ FLOW CYTOMETER

MDR report key: 16273772 · Received January 31, 2023

Report

Report Number
2916837-2023-00017
Event Type
Malfunction
Date Received
January 31, 2023
Date of Event
January 19, 2023
Report Date
June 27, 2023
Manufacturer
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
Product Code
GKZ
UDI-DI
00382903429752
PMA / PMN Number
K923790
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BC
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AFTER FURTHER EVALUATION OF THE COMPLAINT, IT HAS BEEN DETERMINED THAT THE PREVIOUSLY SUBMITTED REPORT 2916837-2023-00017 WAS SENT IN ERROR. THERE WAS NO REPORT OF SERIOUS INJURY, MEDICAL INTERVENTION, OR REPORTABLE DEVICE MALFUNCTION. THEREFORE THIS IS NOT CONSIDERED TO BE A REPORTABLE MALFUNCTION.

Additional Manufacturer Narrative · 0

PMA / 510(K)#: K923790, K973483. INITIAL REPORTER PHONE #: (B)(6). 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 WHILE USING THE BD FACSCALIBUR¿ FLOW CYTOMETER THAT THERE WAS ERRONEOUS REULTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: HIGH CELL ABSOLUTE COUNT IS REPORTED BY THE FSE.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING THE BD FACSCALIBUR¿ FLOW CYTOMETER THAT THERE WAS ERRONEOUS REULTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: HIGH CELL ABSOLUTE COUNT IS REPORTED BY THE FSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1051390 BD FACSCALIBUR¿ FLOW CYTOMETER COUNTER, DIFFERENTIAL CELL GKZ BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES 342975 00382903429752

Patients

Seq Age Sex Outcome Treatment
1 Unknown