FDA Adverse Event Malfunction Summary report: N

INSTRUMENT MANAGER SOFTWARE

MDR report key: 20035365 · Received August 22, 2024

Report

Report Number
1225673-2024-00004
Event Type
Malfunction
Date Received
August 22, 2024
Date of Event
July 23, 2024
Report Date
August 21, 2024
Manufacturer
DATA INNOVATIONS LLC
Product Code
JQP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

A COLLABORATIVE INVESTIGATION WAS COMPLETED BY DATA INNOVATIONS (MANUFACTURER), AND (B)(6) HOSPITAL (USER FACILITY). INVESTIGATION DETERMINED USER ERROR WHEN RELEASING THE RESULT. SINCE 0.0 WAS RELEASED FOR ALL ABSOLUTE VLAUES, (B)(6) HOSPITAL IDENTIFIED THE ORDER OF SELECTION FOR MANUAL DIFFERENTIAL WAS DONE INCORRECTLY. THE MEDICAL TECHNOLOGIST RESULTED THE DIFFERENTIAL BASED OFF A TEST RUN THAT DIDN'T HAVE A WHITE CELL COUNT CONNECTED TO THE ORDER, WHICH IS USED TO CALCULATE THE ABSOLUTE VALUES. THIS WAS NOT A MALFUNCTION OF INSTRUMENT MANAGER. DATA INNOVATIONS WAS UNABLE TO CONFIRM WITH THE USER FACILITY THAT THERE WAS NO PATIENT IMPACT DUE TO THIS USER ERROR AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

A CUSTOMER REPORTED ON 23 JULY 2024 THAT AFTER A MANUAL DIFFERENTIAL WAS PERFORMED, THE ABSOLUTE COUNT GENERATED "0.0" AS THE RESULT FOR ALL ABSOLUTE CELL TYPES. RESULTS WERE RELEASED TO THE PATIENT'S CHART.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
941171 INSTRUMENT MANAGER SOFTWARE INSTRUMENT MANAGER SOFTWARE JQP DATA INNOVATIONS LLC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown