FDA Adverse Event Malfunction Summary report: N

BD SYNAPSYS¿

MDR report key: 17821285 · Received September 26, 2023

Report

Report Number
1119779-2023-01030
Event Type
Malfunction
Date Received
September 26, 2023
Date of Event
August 31, 2023
Report Date
November 3, 2023
Manufacturer
BECTON DICKINSON & CO. (SPARKS)
Product Code
JQP
UDI-DI
00382904441500
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION SUMMARY: THIS STATEMENT IS TO SUMMARIZE THE INVESTIGATION OF A COMPLAINT INVOLVING SYNAPSYS. ACCORDING TO INFORMATION PROVIDED, THE SYNAPSYS HAD ANONYMOUS DOUBLE ENTRIES. NO OTHER ISSUES WERE REPORTED. BD SERVICE PERSONNEL INVESTIGATED THE ISSUE. THE SECOND ENTRY HAD THE SEQUENCE AND SAMPLE NUMBER IN SYNAPSYS. THIS ISSUE DID NOT ADVERSELY IMPACT THE PATIENT. THIS ISSUE WAS CAUSED BY A SOFTWARE BUG AND WILL BE FIXED IN A FUTURE RELEASE. IT WILL BE TRACKED UNDER A SYSTEM CHANGE REQUEST. THIS IS A CONFIRMED FAILURE OF A BD PRODUCT. REVIEW FOUND COMPLAINTS OF THIS TYPE WERE UNDER STATISTICAL CONTROL FOR THE MONTH OF SEPTEMBER. ADDITIONALLY, NO ADVERSE TREND WAS IDENTIFIED FOR REPORTS OF THIS TYPE. DEVICE HISTORY RECORD REVIEW WAS NOT APPLICABLE AS THIS IS A STANDALONE SOFTWARE PRODUCT AND THE OPERATION/ FUNCTIONALITY OF THIS TYPE OF PRODUCT IS CONFIRMED AT THE TIME OF INSTALLATION.

Additional Manufacturer Narrative · 0

H.3. 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 BD SYNAPSYS¿ THAT THERE WAS INCORRECT DATA. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: SYNAPSYS ANONYMOUS DOUBLE ENTRY.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD SYNAPSYS¿ THAT THERE WAS INCORRECT DATA. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: SYNAPSYS ANONYMOUS DOUBLE ENTRY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
985417 BD SYNAPSYS¿ NA JQP BECTON DICKINSON & CO. (SPARKS) 00382904441500

Patients

Seq Age Sex Outcome Treatment
1 Unknown