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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS) BD SARS-COV-2/FLU FOR BD MAX¿ SYSTEM; SARS-COV-2 REAGENT KIT

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GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS) BD SARS-COV-2/FLU FOR BD MAX¿ SYSTEM; SARS-COV-2 REAGENT KIT Back to Search Results
Catalog Number 445011
Device Problem Device Markings/Labelling Problem (2911)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/07/2022
Event Type  malfunction  
Manufacturer Narrative
A device evaluation and/or device history review is anticipated but is not complete.Upon completion, a supplemental report will be filed.
 
Event Description
It was reported that bd sars-cov-2/flu for bd max¿ system lot number indicated on 30 boxes is not the same lot number indicated on the reagent strips.The user realized the boxes had been relabeled.The label on the bottom of the box has the same lot number as the strips but there is no reference to the kit.No patient impact reported.The following information was provided by the initial reporter: the lot indicated on the box (2192582) is not the same as the lot indicated on the reagent strips (2049520).The user realized that the boxes had been relabeled.The label on the bottom has the same lot number as the strips (2049520) but there is no reference to the kit, which is probably why it was relabeled.30 boxes are concerned.The laboratory performed a positive control on one strip.This control was compliant (pos sars-cov-2/pos flu).
 
Manufacturer Narrative
After additional review, mfr report # 3007420875-2022-00050 was submitted in error.This device is considered exempt.This mdr should be considered canceled.
 
Event Description
It was reported that bd sars-cov-2/flu for bd max¿ system lot number indicated on 30 boxes is not the same lot number indicated on the reagent strips.The user realized the boxes had been relabeled.The label on the bottom of the box has the same lot number as the strips but there is no reference to the kit.No patient impact reported.The following information was provided by the initial reporter: the lot indicated on the box (2192582) is not the same as the lot indicated on the reagent strips (2049520).The user realized that the boxes had been relabeled.The label on the bottom has the same lot number as the strips (2049520) but there is no reference to the kit, which is probably why it was relabeled.30 boxes are concerned.The laboratory performed a positive control on one strip.This control was compliant (pos sars-cov-2/pos flu).
 
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Brand Name
BD SARS-COV-2/FLU FOR BD MAX¿ SYSTEM
Type of Device
SARS-COV-2 REAGENT KIT
Manufacturer (Section D)
GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS)
2555 blv. du parc techn
quebec
Manufacturer (Section G)
GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS)
2555 blv. du parc techn
quebec
Manufacturer Contact
phillip emmert
9450 south state street
sandy, UT 84070
8015296192
MDR Report Key15476266
MDR Text Key306267095
Report Number3007420875-2022-00050
Device Sequence Number1
Product Code QJR
Combination Product (y/n)N
Reporter Country CodeFR
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 09/28/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/24/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date12/11/2022
Device Catalogue Number445011
Device Lot Number2049520
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received09/07/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured02/18/2022
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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