FDA Adverse Event Malfunction Summary report: N

PANEL PHOENIX NMIC/ID-307

MDR report key: 22923680 · Received August 29, 2025

Report

Report Number
1119779-2025-04632
Event Type
Malfunction
Date Received
August 29, 2025
Date of Event
October 28, 2023
Report Date
July 14, 2025
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
LON
UDI-DI
30382904492893
PMA / PMN Number
K181665
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: THIS COMPLAINT IS FOR MISIDENTIFICATION WHEN USING PHOENIX PANEL NMIC/ID-307 (CATALOG NUMBER 449289) BATCH NUMBER 3213033. THE CUSTOMER RETURNED ISOLATES BUT DID NOT RETURN PHOENIX GENERATED LAB REPORTS OR PANELS FOR THE INVESTIGATION. THE CUSTOMER NOTED THAT THE MOST COMMON MIS-ID WAS E. COLI AS CITROBACTER FERMERII. THE ISOLATE WAS VERIFIED AS E. COLI WITH BRUKER MALDI BIOTYPER. BATCH 3213033 WAS UNAVAILABLE FOR INVESTIGATION TESTING AND A COMPARABLE BATCH WAS USED FOR INVESTIGATION TESTING. TO INVESTIGATE, TWO COMPARABLE PANELS WERE TESTED USING CUSTOMER RETURNED ISOLATE E. COLI 9288124 ON A PHOENIX M50 MACHINE AND EVALUATED FOR IDENTIFICATION RESULTS. IN ADDITION, ONE CONTROL PANEL FROM THE SAME MATERIAL BUT DIFFERENT BATCH WERE INOCULATED WITH CUSTOMER RETURNED ISOLATE E. COLI 9288124 ON A PHOENIX M50 MACHINE AND EVALUATED FOR IDENTIFICATION RESULTS. ALL THREE PANELS IDENTIFIED THE ISOLATE AS E. COLI, THEREFORE, THIS COMPLAINT IS NOT CONFIRMED FOR MISIDENTIFICATION. THE BATCH HISTORY RECORD WAS SATISFACTORY AND NO QUALITY NOTIFICATIONS WERE GENERATED DURING MANUFACTURING AND INSPECTION. A REVIEW OF COMPLAINTS REVEALED SEVEN ADDITIONAL COMPLAINTS ON COMPLAINT BATCH 3213033, SIX OF WHICH ARE RELATED TO THIS DEFECT AND UNCONFIRMED. COMPLAINT TRENDING WAS PERFORMED, AND NO TRENDS WERE IDENTIFIED ASSOCIATED WITH THIS DEFECT. BD WILL CONTINUE TO MONITOR FOR TRENDS AND TAKE ACTION AS NECESSARY. THIS MDR IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW OF RECORDS DATING APRIL 2023¿2025, UNDER CAPA 11910483.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING PANEL PHOENIX NMIC/ID-307, A PATIENT SAMPLE WAS INCORRECTLY IDENTIFIED. THERE WAS NO REPORT OF PATIENT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2163325 PANEL PHOENIX NMIC/ID-307 SYSTEM, TEST, AUTOMATED ANTIMICROBIAL SUSCEPTIBILITY LON BECTON, DICKINSON & CO. (SPARKS) 3213033 30382904492893

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown