FDA Adverse Event Malfunction Summary report: N

GALILEO NEO

MDR report key: 3821801 · Received May 20, 2014

Report

Report Number
1034569-2014-00078
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
April 26, 2014
Report Date
May 20, 2014
Manufacturer
IMMUCOR, INC.
Product Code
KSZ
PMA / PMN Number
BK100001
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

IMMUCOR TECHNICAL SUPPORT USED A REMOTE ELECTRONIC CONNECTION METHOD TO ASSESS THE INSTRUMENT TEST WELL IMAGES ON (B)(4) 2014. THE REVIEW OF THE WELL IMAGES WAS CONSISTENT WITH THE GALILEO NEO INTERPRETATION. NO PATIENT SAMPLE OR CUSTOMER PRODUCT WAS RETURNED TO IMMUCOR FOR IMMUCOR INVESTIGATION.

Description of Event or Problem · 1

ON (B)(6) 2014, A CUSTOMER REPORTED AN UNEXPECTEDLY ABO MISTYPE RESULT WHEN TESTING WITH A GALILEO NEO INSTRUMENT ON (B)(6) 2014.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
299006 GALILEO NEO AUTOMATED BLOOD BANK SYSTEM KSZ IMMUCOR, INC.

Patients

Seq Age Sex Outcome Treatment
1 38 YR