CELL-DYN SMS
Received Apr 21, 2015 · Event occurred Apr 2, 2015
Report 2919069-2015-00020 · MDR key 4711308
Device
Generic name
Automated Blood Film Preparation And Staining
Manufacturer
Abbott Diagnostics DivisionCatalog number
05H29-04
Product problems
- Incorrect, Inadequate or Imprecise Result or Readings
Patient
Not reported
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
THE CUSTOMER REPORTS THAT A BLOOD FILM PREPARED BY THE CELL-DYN SMS (LN: 05H29-04) WAS MADE FROM THE BLOOD OF TWO DIFFERENT PATIENTS. A SLIDE PREPARED FROM SAMPLE 15P021188 CONTAINED MANY BLAST CELLS AND WAS PREPARED AT 13:38. THE NEXT SLIDE (SAMPLE 15P021147) CONTAINED BLAST CELLS AND PREPARED AT 13:49, WHICH DID NOT FIT THE PATIENT'S CLINICAL CONDITION. AT THE TIME, THE INSTRUMENT WAS GENERATING INTERNAL WASTE FULL RECOVERY ERRORS, ALTHOUGH THE COLLECTOR BOTTLE WAS NOT FULL. THE CUSTOMER BELIEVES THAT THE SUSPECT FILM WAS DUE TO CARRYOVER CAUSED BY THIS ERROR. THE CUSTOMER MANUALLY PREPARED A NEW SLIDE FROM SAMPLE 15P021147, WHICH DID NOT CONTAIN ANY BLAST CELLS. AN ABBOTT FIELD SERVICE ENGINEER AT THE SITE COULD NOT RECREATE THE ISSUE. NO SUSPECT RESULTS WERE REPORTED FROM THE LAB WITH NO PATIENT IMPACT.
Additional Manufacturer Narrative
NO RETURNS WERE MADE AVAILABLE FROM THE CUSTOMER SITE FOR THIS EVALUATION. AN ABBOTT FIELD SERVICE ENGINEER (FSE) EVALUATED THE INSTRUMENT AT THE CUSTOMER SITE. THE FSE PERFORMED A FULL CHECK AND CLEANING ON THE INTERNAL WASTE CHAMBER. ALL SUBSEQUENT INSTRUMENT OPERATIONS AND TEST RESULTS WERE ACCEPTABLE. THE CUSTOMER'S ISSUE COULD NOT BE RECREATED. A REVIEW OF COMPLAINT TRACKING AND TRENDING METRICS WAS PERFORMED AND IDENTIFIED NO ADVERSE TRENDS IN CONJUNCTION WITH THE COMPLAINT ISSUE CURRENTLY UNDER EVALUATION. THE CELL-DYN SMS SYSTEM OPERATOR MANUAL CONTAINS INFORMATION TO ADDRESS THE CURRENT CUSTOMER ISSUE. BASED ON THE AVAILABLE INFORMATION FROM THE CUSTOMER SITE AND FROM THE RESULTS OF THIS EVALUATION, THERE IS NO EVIDENCE OF A PRODUCT DEFICIENCY. THE ISSUE WAS ADDRESSED THROUGH STANDARD TROUBLESHOOTING PROCEDURES.
Additional Manufacturer Narrative
AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. DATE OF EVENT AND DATE OF REPORT AND DATE RECEIVED BY THE MANUFACTURER ARE DUE TO TIME ZONE DIFFERENCES.