FDA Adverse Event Malfunction Summary report: N

BD PHOENIX PANEL NMIC-306

MDR report key: 18310285 · Received December 12, 2023

Report

Report Number
1119779-2023-01350
Event Type
Malfunction
Date Received
December 12, 2023
Date of Event
November 21, 2023
Report Date
May 28, 2024
Manufacturer
BECTON DICKINSON & CO. (SPARKS)
Product Code
LON
UDI-DI
00382904492922
PMA / PMN Number
SEE H.10
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D4. MEDICAL DEVICE LOT#: UNKNOWN. D4. MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. H4. DEVICE MANUFACTURE DATE: UNKNOWN. G5. PMA / 510(K)#: K020322, K022129, K023444, K023634, K023858, K024153, K031530, K031699, K031912, K032299, K032567, K032655, K033362, K033560, K041384, K042932, K052269, K060214, K060217, K060257, K060444, K060447, K060447, K061327, K061355, K062207, K062944, K063301, K063486, K063573, K063811, K063824, K071623, K132674, K132909, K151320, K163637, K173252, K173523, K181665, K181665, K181665, K181665, K181665, K181665, K181665, K181665, K181665, K190905. 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

H.6 INVESTIGATION SUMMARY: THIS COMPLAINT IS FOR FALSE POSITIVE CARBAPENEM RESISTANT ENTEROBACTERIAECEAE (CRE) RESULTS WHEN USING PHOENIX PANEL NMIC-306 (CATALOG NUMBER 449292) BATCH 3192114. THE CUSTOMER DID NOT PROVIDE PANEL RETURNS BUT PROVIDED ISOLATE RETURNS AND PHOENIX GENERATED LAB REPORTS FOR THE INVESTIGATION. THE LAB REPORTS SHOW POSITIVE CRE RESULTS FOR KLEBSIELLA PNEUMONIAE, ESCHERICHIA COLI, AND CITROBACTER KOSERI WHEN USING THE COMPLAINT BATCH. THE CUSTOMER RETURNED TWO K. PNEUMONIAE ISOLATES AND ONE E. COLI ISOLATE. TO INVESTIGATE, TWO RETENTION PANELS EACH FROM COMPLAINT BATCH 3192114 WERE INOCULATED WITH CUSTOMER RETURNED ISOLATES K. PNEUMONIAE #1, K. PNEUMONIAE #2, AND E. COLI TO OBSERVE FOR CRE RESULTS. IN ADDITION, ONE CONTROL PANEL EACH FROM THE SAME MATERIAL BUT A DIFFERENT BATCH WERE INOCULATED WITH CUSTOMER RETURNED ISOLATES K. PNEUMONIAE #1, K. PNEUMONIAE #2, AND E. COLI TO OBSERVE FOR CRE RESULTS. THE INVESTIGATION RETURNED ALL NINE PANELS CLASSIFYING AS CRE NEGATIVE; THEREFORE THIS COMPLAINT IS NOT CONFIRMED. THE BATCH HISTORY RECORD WAS SATISFACTORY, AND NO QUALITY NOTIFICATIONS WERE GENERATED DURING MANUFACTURING AND INSPECTION. COMPLAINT TRENDING WAS PERFORMED AND NO TRENDS WERE IDENTIFIED ASSOCIATED WITH THIS DEFECT. A REVIEW OF COMPLAINTS REVEALED NO OTHER COMPLAINTS ON THIS BATCH. 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 WHEN USING THE BD PHOENIX PANEL NMIC-306 PATIENT ISOLATE OF E. COLI WAS REPORTED AS FALSE POSITIVE FOR CARBAPENEM-RESISTANT ENTEROBACTERALES (CRE). REPORT 2 OF 5.

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD PHOENIX PANEL NMIC-306 PATIENT ISOLATE OF E. COLI WAS REPORTED AS FALSE POSITIVE FOR CARBAPENEM-RESISTANT ENTEROBACTERALES (CRE). REPORT 2 OF 5.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1579832 BD PHOENIX PANEL NMIC-306 SYSTEM, TEST, AUTOMATED ANTIMICROBIAL SUSCEPTIBILITY LON BECTON DICKINSON & CO. (SPARKS) UNKNOWN 00382904492922

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown