inforMED
MalfunctionPCI

BD MAX¿ ENTERIC BACTERIAL PANEL

Received Nov 14, 2023 · Event occurred Oct 26, 2023

Report 3007420875-2023-00105 · MDR key 18133141

Device

Generic name

Gastrointestinal Bacterial Panel Multiplex Nucleic Acid-based Assay System

Catalog number

442963

Lot number

3137726

Product problems

  • False Positive Result
  • False Positive Result

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

H.6. INVESTIGATION SUMMARY: THE COMPLAINT INVESTIGATION FOR DISCREPANT RESULTS WITH THE BD MAX¿ ENTERIC BACTERIAL PANEL KIT (REF. (B)(4)) LOT 3137726 WAS PERFORMED BY THE REVIEW OF MANUFACTURING RECORDS AND VERIFICATION OF COMPLAINTS HISTORY. REVIEW OF THE MANUFACTURING RECORDS OF THE BD MAX ENTERIC BACTERIAL PANEL (EBP) LOT 3137726 INDICATED THAT THE LOT WAS MANUFACTURED ACCORDING TO SPECIFICATIONS AND MET PERFORMANCE REQUIREMENTS. CUSTOMER COMPLAINED ABOUT SUSPECTED FALSE POSITIVE RESULTS WITH BD MAX¿ ENTERIC BACTERIAL PANEL KIT LOT 3137726. ACCORDING TO THE CUSTOMER, THEY OBTAINED SAMPLES HAVING UNEXPECTED DOUBLE POSITIVE RESULTS. THEY OBTAINED CAMPY/STX POSITIVE TARGETS WHEN ONLY A CAMPY POSITIVE RESULT WAS EXPECTED, AND SALMONELLA/STX POSITIVE TARGETS WHEN ONLY A SALMONELLA POSITIVE RESULT WAS EXPECTED. HOWEVER, NO DATA OR ADDITIONAL INFORMATION WAS PROVIDED, DESPITE SEVERAL REQUESTS TO RECEIVE INFORMATION FROM THE CUSTOMER. WITHOUT DATA, THE INVESTIGATION WAS THUS LIMITED. BD IS UNABLE TO IDENTIFY THE CAUSE OF THE CUSTOMER ISSUE, ALTHOUGH NO REAGENT ISSUE IS SUSPECTED. THERE IS NO INDICATION OF A REAGENT ISSUE BASED ON THE ANALYSIS OF THE COMPLAINTS RECEIVED FOR DISCREPANT RESULTS ON BD MAX¿ ENTERIC BACTERIAL PANEL KIT LOT 3137726. THE ROOT CAUSE WAS NOT IDENTIFIED. BD CANNOT CONFIRM THE COMPLAINT BASED ON THE INVESTIGATION THAT WAS PERFORMED.

Description of Event or Problem

IT WAS REPORTED WHILE TESTING WITH BD MAX¿ ENTERIC BACTERIAL PANEL A FALSE POSITIVE WAS OBTAINED. NO PATIENT IMPACT REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CUSTOMER HAS ALSO REPORTED UNEXPECTED DOUBLE POSITIVES WITH STX THEY HAVE DONE ENVIRONMENTAL CONTROL AND THERE IS NO CONTAMINATION DETECTED. SALMONELLA/STX CAMPYLO/STX FALSE RESULTS HAVE NOT BEEN REPORTED TO PHYSICIAN. THERE HAS BEEN NO HARM TO PATIENTS.

Additional Manufacturer Narrative

B3: DATE OF EVENT IS UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. H.3. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED WHILE TESTING WITH BD MAX¿ ENTERIC BACTERIAL PANEL A FALSE POSITIVE WAS OBTAINED. NO PATIENT IMPACT REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: CUSTOMER HAS ALSO REPORTED UNEXPECTED DOUBLE POSITIVES WITH STX THEY HAVE DONE ENVIRONMENTAL CONTROL AND THERE IS NO CONTAMINATION DETECTED. SALMONELLA/STX CAMPYLO/STX FALSE RESULTS HAVE NOT BEEN REPORTED TO PHYSICIAN. THERE HAS BEEN NO HARM TO PATIENTS.