FDA Adverse Event Malfunction Summary report: N

BD MULTITEST¿

MDR report key: 18914559 · Received March 15, 2024

Report

Report Number
3008352382-2024-00001
Event Type
Malfunction
Date Received
March 15, 2024
Date of Event
February 8, 2024
Report Date
August 27, 2024
Manufacturer
BECTON DICKINSON CARIBE LTD.
Product Code
GKZ
PMA / PMN Number
SEE H.10
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS HAVE BEEN UPDATED WITH CORRECTED INFORMATION: D.4. UNIQUE IDENTIFIER (UDI) #: (B)(4). H.6. INVESTIGATION SUMMARY: BASED ON THE INVESTIGATION RESULTS, THE REPORTED PERFORMANCE ISSUE WAS CONFIRMED BUT NOT ATTRIBUTED TO TBNK REAGENT PERFORMANCE. INVESTIGATION RESULTS THAT WERE PERFORMED ON THE INDICATED FAILURE MODE WERE THE FOLLOWING: BHR REVIEW AND LATER MATERIAL USAGE DATA AS A REFERENCE BATCH SHOWING ACCEPTABLE PERFORMANCE. RETAIN SAMPLE TESTING SHOWING ACCEPTABLE PERFORMANCE. POTENTIAL CAUSE FOR CUSTOMER REPORTED COMPLAINT WAS NOT DETERMINED. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

D.4. MEDICAL DEVICE EXPIRATION DATE: NA. G.5. PMA / 510(K)#: K090967. G.5. PMA / 510(K)#: K170974. 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

H6. INVESTIGATION SUMMARY: BASED ON THE INVESTIGATION RESULTS, THE REPORTED ISSUE OF CONTAMINATION DEBRIS WHILE USING PRODUCT 662967 (BD MULTITEST 6-COLOR TBNK REAGENT, IVD) LOT 34028 WAS NOT CONFIRMED AS IS NOT ATTRIBUTED TO TBNK REAGENT PERFORMANCE. INVESTIGATION RESULTS WERE PERFORMED ON THE INDICATED FAILURE MODE FOUND PRODUCT PERFORMED AS INTENDED PER BD BIOSCIENCES SPECIFICATIONS DURING RELEASE TESTING, EXAMINED CUSTOMER PROVIDED DATA AND RECENT RETAIN TESTING DID NOT REPRODUCED REPORTED DEFECT. THE CAUSE FOR REPORTED COMPLAINT COULD NOT BE DETERMINED AFTER INVESTIGATION, HOWEVER, COULD BE ATTRIBUTED TO UNINTENDED USE ERROR BY CUSTOMER. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD MULTITEST¿ ERRONEOUS RESULTS WERE OBSERVED. THERE WAS NO REPORT OF USER IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE CUSTOMER FOUND THAT AS LONG AS THIS LOT(34028) IS STAINED, IN THE CD45 VS SSC , ,CD4 VS CD8 PLOTS, THERE ARE HUGE NOISE, BUT OTHER LOTS ARE NORMAL WITHOUT ANY NOISE. WHEN DID THIS INCIDENT OCCUR? DURING USE: ERRONEOUS RESULTS-YES.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD MULTITEST¿ ERRONEOUS RESULTS WERE OBSERVED. THERE WAS NO REPORT OF USER IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE CUSTOMER FOUND THAT AS LONG AS THIS LOT(34028) IS STAINED, IN THE CD45 VS SSC , ,CD4 VS CD8 PLOTS, THERE ARE HUGE NOISE, BUT OTHER LOTS ARE NORMAL WITHOUT ANY NOISE. WHEN DID THIS INCIDENT OCCUR? DURING USE : ERRONEOUS RESULTS-YES.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD MULTITEST¿ ERRONEOUS RESULTS WERE OBSERVED. THERE WAS NO REPORT OF USER IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE CUSTOMER FOUND THAT AS LONG AS THIS LOT(34028) IS STAINED, IN THE CD45 VS SSC,CD4 VS CD8 PLOTS, THERE ARE HUGE NOISE, BUT OTHER LOTS ARE NORMAL WITHOUT ANY NOISE. WHEN DID THIS INCIDENT OCCUR? DURING USE : ERRONEOUS RESULTS-YES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1320108 BD MULTITEST¿ COUNTER, DIFFERENTIAL CELL GKZ BECTON DICKINSON CARIBE LTD. 34028

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown