FDA Adverse Event Malfunction Summary report: N

BD MAX¿ ENTERIC VIRAL PANEL

MDR report key: 18771023 · Received February 23, 2024

Report

Report Number
3007420875-2024-00009
Event Type
Malfunction
Date Received
February 23, 2024
Date of Event
January 31, 2024
Report Date
April 3, 2024
Manufacturer
GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS)
Product Code
PCH
UDI-DI
00382904439859
PMA / PMN Number
K220607
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H3. 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

THE FOLLOWING INFORMATION HAS BEEN UPDATED WITH CORRECTED AND/OR ADDITIONAL INFORMATION: B.5. DESCRIBE EVENT OR PROBLEM: IT WAS REPORTED THAT DURING USE OF THE BD MAX¿ ENTERIC VIRAL PANEL, FALSE POSITIVE RESULTS ON SAPOVIRUS AND ADENOVIRUS WERE OBTAINED. FALSE RESULTS WERE NOT REPORTED TO PHYSICIAN BECAUSE CUSTOMER ALWAYS CHECK POSITIVE RESULTS/CURVES. THERE HAS BEEN NO HARM TO PATIENTS. D.1. MEDICAL DEVICE BRAND NAME: BD MAX¿ ENTERIC VIRAL PANEL D.2. MEDICAL DEVICE CATALOG #: 443985 D.4. MEDICAL DEVICE LOT #: UNKNOWN D.4. UNIQUE IDENTIFIER (UDI) #: (B)(4). G.5. PMA/510(K)#: K220607 H.6. INVESTIGATION SUMMARY: THE COMPLAINT INVESTIGATION FOR SUSPECTED FALSE POSITIVE SAPOVIRUS (SAV) AND ADENOVIRUS (ADV) RESULTS WHEN USING THE BD MAX¿ ENTERIC VIRAL PANEL ASSAY (REF. (B)(4) UNKNOWN LOT NUMBER WAS PERFORMED BY THE ANALYSIS OF THE CUSTOMER¿S DATA AND VERIFICATION OF COMPLAINTS HISTORY. CUSTOMER PROVIDED THE DATABASE OF INSTRUMENT CT1108. DATABASE ANALYSIS SHOWED THAT THE RATE OF POSITIVE RESULTS VARIED IN TIME AND NOT LINKED TO SPECIFIC LOTS. DESPITE MULTIPLE ATTEMPTS MADE TO RECEIVE INFORMATION FROM THE CUSTOMER, NO KIT LOT NUMBER NOR SAMPLES IDENTIFICATION ABOUT THE RUNS IN WHICH THE SUSPECTED FALSE POSITIVE RESULTS OCCURRED WAS PROVIDED FOR THE INVESTIGATION. ONLY A DESCRIPTION IN THE COMPLAINT TEXT WAS AVAILABLE AND DATABASE OF INSTRUMENT CT1108 WAS SEARCHED TO IDENTIFY THE SAMPLES CORRESPONDING TO THE INFORMATION RECEIVED (DISCREPANT RESULTS OF REPEATED ADENOVIRUS WITH NOROVIRUS POSITIVE RESULTS IN INITIAL TEST AND SAMPLES DISCREPANT RESULTS FOR THE SAPOVIRUS TARGET WHICH ALSO TESTED POSITIVE FOR ANOTHER TARGET). NO SAMPLES CORRESPONDING TO THESE DESCRIPTIONS COULD BE IDENTIFIED IN THE DATABASE AND BD WAS THUS UNABLE TO INVESTIGATE THE ISSUE REPORTED BY THE CUSTOMER. THERE IS NO INDICATION OF A REAGENT ISSUE BASED ON THE ANALYSIS OF THE COMPLAINTS RECEIVED FOR DISCREPANT RESULTS ON BD MAX ENTERIC VIRAL PANEL ASSAYS. THE ROOT CAUSE WAS NOT IDENTIFIED. BD CANNOT CONFIRM THE COMPLAINT BASED ON THE INVESTIGATION THAT WAS PERFORMED. BD DID NOT INITIATE A CORRECTIVE AND PREVENTIVE ACTION (CAPA) SINCE NO NEW HAZARD WAS IDENTIFIED. BD QUALITY WILL CONTINUE TO MONITOR FOR TRENDS. H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE OF THE KIT BD MAX EXT ENTERIC BACTERIAL PANEL, FALSE POSITIVE RESULTS ON SAPOVIRUS AND NOROVIRUS WERE OBTAINED. FALSE RESULTS WERE NOT REPORTED TO PHYSICIAN BECAUSE CUSTOMER ALWAYS CHECK POSITIVE RESULTS/CURVES. THERE HAS BEEN NO HARM TO PATIENTS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE OF THE BD MAX¿ ENTERIC VIRAL PANEL, FALSE POSITIVE RESULTS ON SAPOVIRUS AND ADENOVIRUS WERE OBTAINED. FALSE RESULTS WERE NOT REPORTED TO PHYSICIAN BECAUSE CUSTOMER ALWAYS CHECK POSITIVE RESULTS/CURVES. THERE HAS BEEN NO HARM TO PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
129129 BD MAX¿ ENTERIC VIRAL PANEL GASTROINTESTINAL PATHOGEN PANEL MULTIPLEX NUCLEIC ACID-BASED ASSAY SYSTEM PCH GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS) UNKNOWN 00382904439859

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown