MAUDE MDR 9541916

MDR report key
9541916
Report number
2939693-2020-00002
Event key
0
Event type
3
Date of event
2019-12-03
Date received
2020-01-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. RONI THEBO
Address
3240 WHIPPLE RD UNION CITY CA 94587 US
Phone
269-269-2693
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PICCOLO XPRESS CHEMISTRY ANALYZERPICCOLO ANALYZERABAXIS, INC.JJG1100-00001100-0000Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-020

Event Narratives#

N

Patient 1

ON (B)(6) 2019, ABAXIS RECEIVED A CALL FROM A CUSTOMER CONCERNING THEIR LOANER PICCOLO XPRESS ANALYZER (SERIAL NUMBER: (B)(4)) REPORTING INCORRECT REFERENCE RANGE VALUES ON PATIENT SAMPLES RAN ON (B)(6) 2019. THE LOANER ANALYZER HAD THE NEWEST VERSION OF SOFTWARE 3.1.35/2.1.55. DURING A PRELIMINARY INVESTIGATION OF THE ISSUE, ABAXIS CONFIRMED A TOTAL RECEIPT OF 5 CUSTOMER COMPLAINTS (DATE OF CALLS RANGE FROM (B)(6) 2019); FROM FOUR CUSTOMER SITES REGARDING THE SAME/SIMILAR ISSUE. FURTHER INVESTIGATION INTO THE COMPLAINT REPORTS, ABAXIS CONFIRMED A SOFTWARE FAILURE IN THE NEWLY RELEASED PICCOLO XPRESS SOFTWARE VERSION 3.1.35/2.1.55 WHICH MAY CAUSE THE PRODUCT TO DISPLAY INCORRECT REFERENCE RANGES FOR CERTAIN ANALYTES WHEN GENDER SELECTION IS NOT SET ON THE DEVICE. THE ISSUE IS LIMITED TO THE NEWLY RELEASED SOFTWARE VERSION 3.1.35/2.1.55 WHICH HAS ONLY BEEN INSTALLED ON LOANERS AND REPAIRED UNITS AND NOT ON ANY NEW BUILDS. ABAXIS HAS STOPPED LOADING NEW SOFTWARE ON LOANERS/REPAIRED UNITS SINCE RECEIVING CALLS REGARDING THE ISSUE. ON (B)(6) 2019, ABAXIS INITIATED A FILED ACTION TO NOTIFY ALL CUSTOMERS WHO HAVE RECEIVED IMPACTED LOANER/REPAIRED ANALYZERS WITH THE NEWEST SOFTWARE VERSION 3.1.35/2.1.55 (FDA CORRECTION/REMOVAL NUMBER: 2939693-12/16/2019-001-R). NO IMPACT TO PATIENTS HAS BEEN REPORTED BY CUSTOMERS FROM THE ISSUE. ADDITIONAL INVESTIGATION REGARDING THE ISSUE IS UNDERWAY. SINCE 5 INDIVIDUAL CALLS FOR 5 INSTRUMENT SERIAL NUMBERS HAVE BEEN RECEIVED FOR THIS ISSUE, 5 INDIVIDUAL MDR SUBMISSIONS FOR EACH INSTRUMENT SERIAL NUMBER WILL BE SUBMITTED (MDR 2939693-2020-00001, MDR 2939693-2020-00003, MDR 2939693-2020-00004, MDR 2939693-2020-00005).

D

Patient 1

INCORRECT REFERENCE RANGES FOR SOME ANALYTES.