FDA Adverse Event Malfunction Summary report: N

BD PHOENIX¿ AUTOMATED MICROBIOLOGY SYSTEM

MDR report key: 18393619 · Received December 26, 2023

Report

Report Number
1119779-2023-01433
Event Type
Malfunction
Date Received
December 26, 2023
Date of Event
December 4, 2023
Report Date
February 12, 2024
Manufacturer
BECTON DICKINSON & CO. (SPARKS)
Product Code
LON
UDI-DI
00382904481001
PMA / PMN Number
K020321
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION SUMMARY: A RESULTS FAILURE WAS REPORTED ON A PHOENIX 100 INSTRUMENT. THE CUSTOMER REPORTED FALSE RESISTANCE ISSUES WITH THEIR CARBAPENEM, VANCOMYCIN AND TEICOPLANIN DRUGS. TECHNICAL SERVICE WALKED THROUGH THE CUSTOMERS PREPARATION PROCESS AND DETERMINED THERE WAS AN ISSUE WITH CUSTOMER WORKFLOW. FEEDBACK WAS PROVIDED TO THE CUSTOMER. THE ROOT CAUSE OF THE FAILURE IS NOT KNOWN. THIS IS AN UNCONFIRMED FAILURE OF A BD PRODUCT. NO SAMPLES WERE EXPECTED TO BE RECEIVED AS PART OF THIS COMPLAINT, AND THEREFORE NO SAMPLES WERE RETURNED AND NO RETURNED MATERIAL INVESTIGATION COULD OCCUR. DHR REVIEW IS NOT REQUIRED FOR THIS COMPLAINT AS THIS COMPLAINT DOES NOT ALLEGE AN EARLY LIFE FAILURE OR FAILURE AT INSTALLATION AND THE CONFIGURATION HAS CHANGED SINCE RELEASE FROM MANUFACTURING DUE TO SERVICE REPAIRS/PMS. SERVICE HISTORY FOR THIS INSTRUMENT WAS REVIEWED AND REVEALED NO PREVIOUS COMPLAINTS RELATED TO THIS FAILURE MODE. COMPLAINTS FOR RESULTS ARE WITHIN STATISTICAL CONTROL FOR THE MONTH OF DECEMBER 2023. THE UPPER CONTROL LIMIT WAS NOT BREACHED. QUALITY WILL CONTINUE TO MONITOR THE RESULTS COMPLAINTS FOR PHOENIX 100 INSTRUMENTS. NO NEW RISKS OR HAZARDS, OR CHANGES TO EXISTING RISKS/HAZARDS, WERE IDENTIFIED AS A RESULT OF THIS COMPLAINT. H3 OTHER TEXT : SEE H.10

Additional Manufacturer Narrative · 0

E.1: INITIAL REPORTER PHONE: (B)(6). E.1: INITIAL REPORTER ADDRESS: (B)(6). G.5: THERE WERE MULTIPLE 510K NUMBERS REPORTED TO BE INVOLVED THE INFORMATION FOR THE ADDITIONAL 510K IS AS FOLLOWS: K020322, K020323, K040099, K131331 H.3. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING WITH THE BD PHOENIX¿ AUTOMATED MICROBIOLOGY SYSTEM DISCREPANT RESULTS WERE OBTAINED FOR SENSITIVITY TESTS FOR CARBAPENEMS, VANCOMYCIN AND TEICOPLANIN. NO PATIENT IMPACT WAS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING WITH THE BD PHOENIX¿ AUTOMATED MICROBIOLOGY SYSTEM DISCREPANT RESULTS WERE OBTAINED FOR SENSITIVITY TESTS FOR CARBAPENEMS, VANCOMYCIN AND TEICOPLANIN. NO PATIENT IMPACT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2263150 BD PHOENIX¿ AUTOMATED MICROBIOLOGY SYSTEM SYSTEM, TEST, AUTOMATED ANTIMICROBIAL SUSCEPTIBILITY, SHORT INCUBATION LON BECTON DICKINSON & CO. (SPARKS) 00382904481001

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown