FDA Adverse Event Malfunction Summary report: N

BD FACSLYRIC¿

MDR report key: 23089541 · Received September 18, 2025

Report

Report Number
3027394506-2025-00040
Event Type
Malfunction
Date Received
September 18, 2025
Date of Event
September 4, 2025
Report Date
October 31, 2025
Manufacturer
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
Product Code
OYE
UDI-DI
00382906628756
PMA / PMN Number
BK230835
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

E.1- INITIAL REPORTER E-MAIL: (B)(6). E.2- INITIAL REPORTER ADDR 1: (B)(6). G.1- PMA / 510(K)#: K170974; K201814. 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 DIRTY SIT FLUSH TUBING. THE CUSTOMER HAD REPORTED THAT THE INSTRUMENT WAS EXHIBITING CARRYOVER BETWEEN SAMPLES, AND A FIELD SERVICE ENGINEER (FSE) WAS SENT ONSITE TO INVESTIGATE THE ISSUE. THE FSE CONFIRMED THE ISSUE AND PROCEEDED TO CLEAN THE SIT FLUSH TUBING, RESEAT THE PINCH VALVE, AND CHANGED THE ASSAY SIT FLUSHES FROM 1 TO 3. THE INSTRUMENT WAS THEN FUNCTIONING AS EXPECTED AND WAS RETURNED TO THE CUSTOMER. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USAGE OF BD FACSLYRIC¿ CARRYOVER BETWEEN PATIENT SAMPLES WAS OBSERVED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IT WAS REPORTED BY THE CUSTOMER THAT THERE WAS CARRY OVER.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USAGE OF BD FACSLYRIC¿ CARRYOVER BETWEEN PATIENT SAMPLES WAS OBSERVED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IT WAS REPORTED BY THE CUSTOMER THAT THERE WAS CARRY OVER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2831158 BD FACSLYRIC¿ FLOW CYTOMETRIC REAGENTS AND ACCESSORIES OYE BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES 00382906628756

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown