BD PHOENIX? NMIC-402 448874

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,other,user facility report with the FDA on 2020-03-24 for BD PHOENIX? NMIC-402 448874 manufactured by Becton, Dickinson & Co..

Event Text Entries

[184757962] A device evaluation and/or device history review is anticipated, but is not complete. Upon completion, a supplemental report will be filed.
Patient Sequence No: 1, Text Type: N, H10


[184757963] On march 2, 2020 the customer reported a false sensitive result with the bd phoenix? Nmic-402 panel. A panel was setup on (b)(6) 2020 from a swab of the patient? S leg wound. The patient? S leg was amputated on (b)(6) 2020 when the result came back for enterobacter cloacae; sensitive for amikacin. The clinician immediately started treatment with amikacin on (b)(6) 2020 to (b)(6) 2020 and sample was sent to the national reference center. On february 27, 2020 the result came back; enterobacter cloacae, resistant for amikacin. The patient died on (b)(6) 2020 but it is unclear if the patient died due to the incorrect treatment or general condition of patient due to severity of other diseases when he came into the hospital.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1119779-2020-00011
MDR Report Key9874701
Report SourceFOREIGN,OTHER,USER FACILITY
Date Received2020-03-24
Date of Report2020-03-25
Date of Event2020-01-18
Date Mfgr Received2020-03-02
Device Manufacturer Date2019-09-17
Date Added to Maude2020-03-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactBDX BRETT WILKO
Manufacturer Street9450 SOUTH STATE STREET
Manufacturer CitySANDY UT 84070
Manufacturer CountryUS
Manufacturer Postal84070
Manufacturer Phone8015652341
Manufacturer G1BECTON, DICKINSON & CO.
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal Code21152
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBD PHOENIX? NMIC-402
Generic NameSYSTEM, TEST, AUTOMATED, ANTIMICROBIAL SUSCEPTIBILITY, SHORT INCUBATION
Product CodeLON
Date Received2020-03-24
Catalog Number448874
Lot Number9260974
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECTON, DICKINSON & CO.
Manufacturer Address7 LOVETON CIRCLE SPARKS MD 21152 US 21152


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2020-03-24

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