FDA Adverse Event Malfunction Summary report: N

GALILEO NEO

MDR report key: 3932977 · Received July 14, 2014

Report

Report Number
1034569-2014-00116
Event Type
Malfunction
Date Received
July 14, 2014
Date of Event
May 7, 2014
Report Date
June 18, 2014
Manufacturer
IMMUCOR, INC.
Product Code
KSZ
PMA / PMN Number
BK100001
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, 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. AN IMMUCOR FIELD SERVICE ENGINEER VISITED THE CUSTOMER SITE ON (B)(4) 2014, WHEN IT WAS FOUND THAT THE ACTIVE WASH WAS NOT FUNCTIONING CORRECTLY. THE RESOLUTION WAS TO REPLACE THE ACTIVE WASH PUMP. THE INSTRUMENT THEN PERFORMED CORRECTLY WITH THE EXPECTED RESULTS OF SOME TEST BLOOD SAMPLES.

Description of Event or Problem · 1

ON (B)(6) 2014, A CUSTOMER REPORTED AN UNEXPECTED NEGATIVE ANTIBODY SCREEN USING CAPTURE-R READY-SCREEN (POOLED CELLS) WHEN TESTING A BLOOD SAMPLE ON A GALILEO NEO ON (B)(6) 2014.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
410677 GALILEO NEO AUTOMATED BLOOD BANK SYSTEM KSZ IMMUCOR, INC.

Patients

Seq Age Sex Outcome Treatment
1