FDA Adverse Event Malfunction Summary report: N

BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT

MDR report key: 16569482 · Received March 18, 2023

Report

Report Number
1119779-2023-00297
Event Type
Malfunction
Date Received
March 18, 2023
Date of Event
November 30, 2022
Report Date
June 20, 2023
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
OOI
UDI-DI
00382904419165
PMA / PMN Number
K111860
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

COMMON DEVICE NAME: INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS. PMA / 510(K)#: K111860, K130470. A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

AFTER FURTHER EVALUATION OF THE COMPLAINT, IT HAS BEEN DETERMINED THAT THE PREVIOUSLY SUBMITTED REPORT 1119779-2023-00297 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. PLEASE SEE PR 6909840 TO SEE REPORTED EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING THE BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT THAT THERE WAS FALSE POSTIVES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: (B)(6), DCHU 09-MAR-23: FROM (B)(4), MAX EPP, 442960, GIARDIA FP: CUSTOMER ALLEGING FALSE POSITIVE GIARDIA RESULTS ON EPP CAT: 442960. CUSTOMER STATED 12 PATIENT RESULTS WERE CONFIRMED AS FALSE POSITIVES BY REVIEWING AMPLIFICATION CURVES. REPEATING FROM SAME SBT (PRODUCED A NEGATIVE RESULT ON REPEAT). CONFIRMED WITH CONCENTRATE AND HEMATOXYLIN SLIDE BY MICROSCOPY DONE PRIOR TO REPORTING ANY RESULTS. EMS ARE RAN ON A WEEKLY BASIS. CUSTOMER ENCOUNTERED ¿ERROR IN RESULT METRIC¿ WITH ONE OF THE FALSE POSITIVE GIARDIA.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING THE BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT THAT THERE WAS FALSE POSITIVES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: AMY HOOVER, DCHU (B)(6) 23. FROM PR 6909840 - MAX EPP - 442960 - GIARDIA FP: CUSTOMER ALLEGING FALSE POSITIVE GIARDIA RESULTS ON EPP CAT 442960. CUSTOMER STATED 12 PATIENT RESULTS WERE CONFIRMED AS FALSE POSITIVES BY REVIEWING AMPLIFICATION CURVES REPEATING FROM SAME SBT (PRODUCED A NEGATIVE RESULT ON REPEAT). CONFIRMED WITH CONCENTRATE AND HEMATOXYLIN SLIDE BY MICROSCOPY DONE PRIOR TO REPORTING ANY RESULTS. EMS ARE RAN ON A WEEKLY BASIS. CUSTOMER ENCOUNTERED ¿ERROR IN RESULT METRIC¿ WITH ONE OF THE FALSE POSITIVE GIARDIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
999129 BD MAX¿ SYSTEM, BD MAX¿ INSTRUMENT SEE H.10 OOI BECTON, DICKINSON & CO. (SPARKS) 441916 00382904419165

Patients

Seq Age Sex Outcome Treatment
1 Unknown