FDA Adverse Event Malfunction Summary report: N

GALILEO

MDR report key: 726743 · Received June 15, 2006

Report

Report Number
1034569-2006-00038
Event Type
Malfunction
Date Received
June 15, 2006
Date of Event
May 17, 2006
Report Date
June 14, 2006
Manufacturer
IMMUCOR
Product Code
KSZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INSTRUMENT WAS SERVICED. THE PIPETTE RINSE SUPPLY LINE WAS NOT POSITIONED CORRECTLY IN THE SYSTEM LIQUID CONTAINER. IT WAS REPOSITIONED TO THE APPROPRIATE POSITION. THE REPAIR BROUGHT THE INSTRUMENT BACK WITHIN OPERATING SPECIFICATIONS. THE RETURNED CUSTOMER SAMPLES CORRECTLY TYPED AS O, RH POSITIVE AND A, RH NEGATIVE, RESPECTIVELY, WHEN TESTED ON AN IN-HOUSE GALILEO. THE GALILEO OPERATOR MANUAL PROVIDES GUIDANCE AND WARINGS REGARDING THE COMPARISON OF ABO-RH RESULTS TO PATIENT AND DONOR HISTORY PRIOR TO RELEASE OF BLOOD PRODUCTS FOR TRANSFUSION. (510(K)#BK040013)

Description of Event or Problem · 1

RH DISCREPANCIES ON THE GALILEO INSTRUMENT WERE REPORTED FOR 2 PATIENT SAMPLES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GALILEO KSZ KSZ IMMUCOR * *

Patients

Seq Age Sex Outcome Treatment
1 *