FDA Adverse Event Malfunction Summary report: N

BD FACSLYRIC¿ INSTRUMENT

MDR report key: 21868586 · Received April 18, 2025

Report

Report Number
3027394506-2025-00016
Event Type
Malfunction
Date Received
April 18, 2025
Date of Event
March 20, 2025
Report Date
May 16, 2025
Manufacturer
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
Product Code
OYE
UDI-DI
00382906628756
PMA / PMN Number
K201814
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G.5. ADDITIONAL PMA / 510(K)#: BK230835, K170974, H.3. 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

H.6. INVESTIGATION SUMMARY: BASED ON THE INVESTIGATION RESULTS, THE CAUSE OF THE COMPLAINT WAS CONFIRMED TO BE DUE TO A DAMAGED WASTE TUBING. THE CUSTOMER INITIALLY REPORTED CARRYOVER OBSERVED ON THIS INSTRUMENT AND A BD FIELD SERVICE ENGINEER WAS SENT ONSITE TO ADDRESS THE ISSUE. THE FSE IDENTIFIED THAT THE ORANGE WASTE FITTING WAS DAMAGED AND TRIMMED OFF THE DAMAGED PORTION. THEY THEN REASSEMBLED THE SIT MOUNT, REINSTALLED ONTO THE INSTRUMENT, AND CONFIRMED THAT THE INSTRUMENT WAS FUNCTIONING AS EXPECTED PER BD SPECIFICATIONS. NO ONE WAS HARMED OR INJURED, AND THERE WAS NO IMPACT TO PATIENT DIAGNOSIS OR TREATMENT. A RETURN SAMPLE WAS NOT REQUESTED FOR EVALUATION AS THE ROOT CAUSE OF THE ISSUE WAS IDENTIFIED WITHOUT REQUIRING A SAMPLE ANALYSIS. TWO OTHER COMPLAINTS WERE IDENTIFIED WITH CARRYOVER DUE TO DAMAGED TUBING.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH A BD FACSLYRIC¿ INSTRUMENT CARRYOVER OCCURRED AND A FALSE POSITIVE RESULT WAS OBTAINED ON PATIENT SAMPLES. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: WE ARE GETTING CARRY OVER FROM ONE SAMPLE TO THE NEXT. IF THE FIRST SAMPLE IS POSITIVE AND THE SECOND SAMPLE IS TO BE NEGATIVE, IT IS COMING UP POSITIVE FROM CELL INFILTRATES FROM THE POSITIVE FIRST TUBE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH A BD FACSLYRIC¿ INSTRUMENT CARRYOVER OCCURRED AND A FALSE POSITIVE RESULT WAS OBTAINED ON PATIENT SAMPLES. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: WE ARE GETTING CARRY OVER FROM ONE SAMPLE TO THE NEXT. IF THE FIRST SAMPLE IS POSITIVE AND THE SECOND SAMPLE IS TO BE NEGATIVE, IT IS COMING UP POSITIVE FROM CELL INFILTRATES FROM THE POSITIVE FIRST TUBE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1776446 BD FACSLYRIC¿ INSTRUMENT FLOW CYTOMETRIC REAGENTS AND ACCESS OYE BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES 00382906628756

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown