FDA Adverse Event Malfunction Summary report: N

BD FACSCALIBUR¿ FLOW CYTOMETER

MDR report key: 17379804 · Received July 24, 2023

Report

Report Number
2916837-2023-00147
Event Type
Malfunction
Date Received
July 24, 2023
Date of Event
March 28, 2023
Report Date
September 21, 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
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

E.4 INITIAL REPORTER PHONE #:(B)(6). E.7 INITIAL REPORTER ADDR 1: (B)(6). G.6 PMA / 510(K)#: K923790, K973483. H.3. 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

H.6: AFTER FURTHER EVALUATION OF THE COMPLAINT, IT HAS BEEN DETERMINED THAT THE PREVIOUSLY SUBMITTED REPORT 2916837-2023-00147 WAS SENT IN ERROR. IT HAS BEEN DETERMINED THAT THE ISSUE WAS RELATED TO A MISCONFIGURATION THAT WAS FIXED AND THERE WERE NO ERRORS IN FINAL RESULTS, THEREFORE, THIS NOT CONSIDERED TO BE A REPORTABLE MALFUNCTION.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING THE BD FACSCALIBUR¿ FLOW CYTOMETER THAT THERE WAS ERRONEOUS RESULTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CASE RELATED TO A EVENT RATE ISSUE; VALUES WERE NOT NORMAL AND WAS DUE TO A MISCONFIGURATION NO RESULTS INVOLVED, WERE ACTUALLY VALUES WITH BOTH SAMPLES, BUT WERE NOT RELEASED. COULD YOU CLARIFY WHAT THE "UNEXPECTED RESULTS" WOULD BE? VALUES WERE NOT NORMAL AND WAS DUE TO A MISCONFIGURATION WERE THE UNEXPECTED RESULTS WITH CONTROL SAMPLES OR WITH PATIENT SAMPLES? NO. RESULTS WERE ACTUALLY VALUES WITH BOTH SAMPLES, BUT WERE NOT RELEASED, SO THE PATIENT WAS NOT TREATED BASED ON THE RESULT AND WAS NOT SUBJECTED TO HARM. IF PATIENT SAMPLES, WERE INCORRECT RESULTS OBTAINED OR USED? NO. WAS THE PATIENT TREATED BASED ON THE OUTCOME? NO. WAS THERE ANY HARM TO THE PATIENT? NO. EQUIPMENT DID NOT ENABLE FL4 AT POWER UP, BEING NECESSARY TO ENABLE IT MANUALLY FOR CALIBRATION. HOWEVER, AFTER ACQUIRING THE SAMPLES THE RESULTS SHOWED UNEXPECTED RESULTS.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING THE BD FACSCALIBUR¿ FLOW CYTOMETER THAT THERE WAS ERRONEOUS RESULTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CASE RELATED TO A EVENT RATE ISSUE; VALUES WERE NOT NORMAL AND WAS DUE TO A MISCONFIGURATION NO RESULTS INVOLVED, WERE ACTUALLY VALUES WITH BOTH SAMPLES, BUT WERE NOT RELEASED. - COULD YOU CLARIFY WHAT THE "UNEXPECTED RESULTS" WOULD BE? VALUES WERE NOT NORMAL AND WAS DUE TO A MISCONFIGURATION - WERE THE UNEXPECTED RESULTS WITH CONTROL SAMPLES OR WITH PATIENT SAMPLES? NO RESULTS WERE ACTUALLY VALUES WITH BOTH SAMPLES, BUT WERE NOT RELEASED, SO THE PATIENT WAS NOT TREATED BASED ON THE RESULT AND WAS NOT SUBJECTED TO HARM. - IF PATIENT SAMPLES, WERE INCORRECT RESULTS OBTAINED OR USED? NO - WAS THE PATIENT TREATED BASED ON THE OUTCOME? NO - WAS THERE ANY HARM TO THE PATIENT? NO EQUIPMENT DID NOT ENABLE FL4 AT POWER UP, BEING NECESSARY TO ENABLE IT MANUALLY FOR CALIBRATION. HOWEVER, AFTER ACQUIRING THE SAMPLES THE RESULTS SHOWED UNEXPECTED RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1370143 BD FACSCALIBUR¿ FLOW CYTOMETER COUNTER, DIFFERENTIAL CELL GKZ BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES 00382903429752

Patients

Seq Age Sex Outcome Treatment
1 Unknown