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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES BD FACSCAN SYSTEM GERMAN WITH DDM

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BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES BD FACSCAN SYSTEM GERMAN WITH DDM Back to Search Results
Catalog Number 34001080
Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 09/11/2020
Event Type  malfunction  
Manufacturer Narrative
Medical device expiration date: na.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.(b)(4).
 
Event Description
It was reported that during use with a bd facscan system german with ddm there were erroneous absolute values on patient samples.No erroneous results were released and there was no reported patient impact.The following information was provided by the initial reporter, translated from (b)(6) to english: the customer reports that for a few days the absolute cd34-pe values have been lower than the acceptable range of the bd stem cell controls kit.Additional information received from the customer: "the instrument is used to analyze peripheral and apheretic blood samples from patients who are candidates for autologous transplantation.To our knowledge we have no wrong data.The data of the cd34 cells provided by us is used to determine when to start the apheretic collection procedure and when to stop it.There has never been any harm to patients".Comments: probable deterioration of one of the reference samples.General control of the instrument, no problems of alignment, new preparation and analysis of the samples.From the results there does not appear to be an instrumental problem.The customer reserves the right to carry out other tests.
 
Manufacturer Narrative
After further discussion with the customer, it has been determined that the previously submitted mfr report# 2916837-2020-00156 was sent in error.The instrument is not the source of the error the issue was with a stem control kit not manufactured by bd.
 
Event Description
It was reported that during use with a bd facscan system german with ddm there were erroneous absolute values on patient samples.No erroneous results were released and there was no reported patient impact.The following information was provided by the initial reporter, translated from italian to english: the customer reports that for a few days the absolute cd34-pe values have been lower than the acceptable range of the bd stem cell controls kit.Additional information received from the customer: " the instrument is used to analyze peripheral and apheretic blood samples from patients who are candidates for autologous transplantation.To our knowledge we have no wrong data.The data of the cd34 cells provided by us is used to determine when to start the apheretic collection procedure and when to stop it.There has never been any harm to patients." comments: probable deterioration of one of the reference samples.General control of the instrument, no problems of alignment, new preparation and analysis of the samples.From the results there does not appear to be an instrumental problem.The customer reserves the right to carry out other tests.
 
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Brand Name
BD FACSCAN SYSTEM GERMAN WITH DDM
Type of Device
NA
Manufacturer (Section D)
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
2350 qume drive
san jose CA 95131
Manufacturer (Section G)
BECTON, DICKINSON AND COMPANY, BD BIOSCIENCES
2350 qume drive
san jose CA 95131
Manufacturer Contact
brett wilko
9450 south state street
sandy, UT 84070
8015652341
MDR Report Key10638434
MDR Text Key238137045
Report Number2916837-2020-00156
Device Sequence Number1
Product Code GKZ
Combination Product (y/n)N
Reporter Country CodeIT
PMA/PMN Number
NA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 10/13/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/06/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number34001080
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received09/14/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured08/23/2016
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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