FDA Adverse Event Malfunction Summary report: N

BLOOD GROUPING REAGENT ANTI-A (ABO1)

MDR report key: 2455928 · Received January 24, 2011

Report

Report Number
9610824-2011-00207
Event Type
Malfunction
Date Received
January 24, 2011
Date of Event
November 22, 2010
Report Date
February 23, 2011
Manufacturer
BIO-RAD MEDICAL DIAGNOSTICS GMBH
Product Code
KSZ
PMA / PMN Number
125219
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED WEAKLY FALSE POSITIVE REACTIONS OF A B POSITIVE UNIT OF BLOOD WITH BLOOD GROUPING REAGENT SERACLONE ANTI-A ART. ¿NO. (B)(4), LOT 7003130-01. THE CUSTOMER HAS SENT US SEGMENTS FROM THE UNIT OF BLOOD WHICH HAD REACTED FALSE POSITIVE AND A VIAL OF THE COMPLAINED LOT OF REAGENT. THE COMPLAINED VIAL WAS TESTED WITH A SEGMENT OF THE B POSITIVE UNIT OF BLOOD IN THE IMMEDIATE SPIN METHOD. THE WEAKLY POSITIVE REACTION OF THE CUSTOMER WAS CONFIRMED. THE WEAKLY POSITIVE REACTION WAS ALSO CONFIRMED BY THE TESTING OF REAGENTS OF COMPETITORS. DUE TO TECHNICAL PROBLEMS THE MOLECULAR TYPING OF ABO BLOOD GROUP WAS NOT POSSIBLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BLOOD GROUPING REAGENT ANTI-A (ABO1) SERACLONE ANTI-A KSZ BIO-RAD MEDICAL DIAGNOSTICS GMBH 7003130-01

Patients

Seq Age Sex Outcome Treatment
1