FDA Adverse Event Malfunction Summary report: N

BD PHOENIX¿ PMIC/ID-106

MDR report key: 17990978 · Received October 23, 2023

Report

Report Number
1119779-2023-01169
Event Type
Malfunction
Date Received
October 23, 2023
Date of Event
September 14, 2023
Report Date
March 7, 2024
Manufacturer
BECTON DICKINSON & CO. (SPARKS)
Product Code
LON
UDI-DI
30382904486069
PMA / PMN Number
K020322
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G5: PMA/510(K)#: K021954, K022172, K023273, K023301, K024152, K030677, K031306, K031679, K031679, K032131, K033784, K033907, K040006, K040106, K040716, K050555, K051689, K053241, K060214, K060217, K060218, K060218, K060493, K082538, K082852, K082913 H.3. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

THE FOLLOWING INFORMATION HAS BEEN UPDATED WITH CORRECTED AND/OR ADDITIONAL INFORMATION: B.5. DESCRIBE EVENT OR PROBLEM: IT WAS REPORTED WHILE USING BD PHOENIX¿ PMIC/ID-106 THAT THERE WAS A FALSE RESISTANT RESULT REPORTED OUT ON ONE PATIENT. CUSTOMER IS UNABLE TO CONFIRM IF THERE WAS PATIENT IMPACT. H.6. INVESTIGATION SUMMARY: THIS COMPLAINT IS FOR HIGH MIC RESULTS FOR VANCOMYCIN (VA) WHEN USING PHOENIX PANEL PMIC/ID-106 (CATALOG NUMBER 448606) BATCH NUMBER 3150521. THE CUSTOMER DID NOT PROVIDE PANEL RETURNS, ISOLATES OR LAB REPORTS BUT PROVIDED BINARY FILES FOR THE INVESTIGATION. TO INVESTIGATE, THREE RETENTION SAMPLES EACH FROM COMPLAINT BATCH 3150521 WERE INOCULATED WITH QC ISOLATES STAPHYLOCOCCUS AUREUS A29213 AND ENTEROCOCCUS FAECALIS A29212 TO OBSERVE FOR VA MIC RESULTS. THE INVESTIGATION RETURNED ALL SIX PANELS WITH SATISFACTORY VA MIC RESULTS, THEREFORE THIS COMPLAINT IS NOT CONFIRMED. A REVIEW OF THE BINARY FILES WAS DETERMINED NOT TO BE REQUIRED BASED ON THE RESULTS OF THE INVESTIGATION. FOR FURTHER INVESTIGATION, THE BATCH HISTORY RECORDS WERE SATISFACTORY AND NO QUALITY NOTIFICATIONS WERE GENERATED DURING MANUFACTURING AND INSPECTION. COMPLAINT TRENDING WAS PERFORMED AND NO TRENDS WERE IDENTIFIED ASSOCIATED WITH THIS DEFECT. BD WILL CONTINUE TO MONITOR FOR TRENDS AND TAKE ACTION AS NECESSARY. PLEASE CONTINUE TO COMMUNICATE ANY ADDITIONAL CONCERNS.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD PHOENIX¿ PMIC/ID-106 THAT THERE WAS AN INCORRECT VANCOMYCIN MIC RESULT REPORTED OUT ON ONE PATIENT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CUSTOMER REPORTING INCORRECT AST FOR PRODUCT 448606 LOT NO. 3150521. CUSTOMER INITIALLY RECEIVED A RESULT OF VAN MIC = 4 AND SIR OF INTERMEDIATE. CUSTOMER STATED THAT THEY RERAN THE PANEL TWICE AND MIC WAS = 1 AND SIR = SUSCEPTIBLE. INITIAL RUN WAS RELEASED TO THE CHART. AFTER FURTHER INVESTIGATION, CUSTOMER IS NOT ABLE TO CONFIRM IF PATIENT CARE WAS CHANGED."

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD PHOENIX¿ PMIC/ID-106 THAT THERE WAS A FALSE RESISTANT RESULT REPORTED OUT ON ONE PATIENT. CUSTOMER IS UNABLE TO CONFIRM IF THERE WAS PATIENT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1949319 BD PHOENIX¿ PMIC/ID-106 SYSTEM, TEST, AUTOMATED ANTIMICROBIAL SUSCEPTIBILITY, SHORT INCUBATION LON BECTON DICKINSON & CO. (SPARKS) 3150521 30382904486069

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown