FDA Adverse Event Malfunction Summary report: N

BCMS

MDR report key: 93346 · Received May 29, 1997

Report

Report Number
1124939-1997-00001
Event Type
Malfunction
Date Received
May 29, 1997
Date of Event
May 19, 1997
Report Date
May 29, 1997
Manufacturer
AMERICAN NATIONAL RED CROSS
Product Code
MMH
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
INVALID DATA

Narratives

Additional Manufacturer Narrative · 1

EVAL: AS DESCRIBED IN THE PREVIOUS MDR SUBMISSION AND FIRST FOLLOW-UP, THIS DEFICIENCY WAS INTRODUCED TO BCMS WITH THE INSTALLATION OF RELEASE 01.02.00 ON 3/15/92. A MANUAL PROCESS WAS INTRODUCED TO TEMPORARILY FIX THE PROBLEM UNTIL THE SOFTWARE COULD BE FIXED. BIS APPROVED THE BCMS CONSORTIA REQUEST TO FIX THE SOFTWARE PROBLEM ASSOCIATED WITH THIS MDR REPORT ON 10/10/97. THE FIX WAS IMPLEMENTED IN BCMS VERSION 03.13.00. REGIONAL IMPLEMENTATION ACTIVITY FOR BCMS 03.13.00 IS AS FOLLOWS: 1. THE NEW ENGLAND REGION IMPLEMENTED THE RELEASE ON 10/15/97. 2. THE SOUTHEAST REGION IMPLEMENTED THE RELEASE ON 2/2/98. 3. THE CAROLINAS REGION IMPLEMENTED THE RELEASE ON 12/27/97.

Description of Event or Problem · 1

UNDER CERTAIN CONDITIONS, A SOFTWARE DEFICIENCY IN THE BLOOD CENTER MANAGEMENT SYSTEM (BCMS) ALLOWS LABELING AND RELEASE OF UNITS (BLOOD COMPONENTS) FROM DONORS WITH A TEMPORARY DEFERRAL STATUS. THIS DEFICIENCY DOES NOT AFFECT THE DONOR DEFERRAL REGISTRY (DDR). FOR TEMPORARY DEFERRALS ENTERED INTO THE DONOR CARD REGISTRATION (DCR), THE SYSTEM POSTS A LOCAL TEMPORARY DEFERRAL STATUS OF "T" AND REMOVAL DATE IN THE DONOR RECORD. IF A DONOR HAS A HEALTH HISTORY DEFERRAL WITH AN EXPIRED REMOVAL DATE AND A SUBSEQUENT HEALTH HISTORY DEFERRAL IS ENTERED INTO THE SYSTEM, THE DCR PROGRAM WILL REMOVE THE TEMPORARY DEFERRAL STATUS FROM THE DONOR RECORD AND WILL NOT POST IT TO THE CURRENT HEALTH HISTORY DEFERRAL RECORD. AT THIS POINT, SUBSEQUENT DONATIONS THAT OTHERWISE WOULD HAVE BEEN LABELED BIOHAZARDOUS CAN BE LABELED AND RELEASED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BCMS SOFTWARE, BLOOD-BANK (STAND ALONE PRODUCTS) MMH AMERICAN NATIONAL RED CROSS NA 01.02.00 THROUGH 03.05.00

Patients

Seq Age Sex Outcome Treatment
1 * Other