FDA Adverse Event Malfunction Summary report: N

CHROMID SALMONELLA AGAR

MDR report key: 10028255 · Received May 6, 2020

Report

Report Number
9615755-2020-00007
Event Type
Malfunction
Date Received
May 6, 2020
Report Date
August 5, 2020
Manufacturer
BIOMÉRIEUX SA
Product Code
JWX
UDI-DI
03573026118877
PMA / PMN Number
C1 EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT WAS INITIALLY SUBMITTED FOLLOWING NOTIFICATION FROM A CUSTOMER IN AUSTRIA REGARDING ATYPICAL COLORATION WHEN TESTING A SALMONELLA STRAIN WITH CHROMID SALMONELLA - REFERENCE (B)(6), LOT 1007807000, EXPIRY DATE 22-MAY-2020. AN INTERNAL INVESTIGATION WAS CONDUCTED USING BIOMERIEUX RETAINED SAMPLES OF THE SUBJECT LOT, AND ON THE PLATES RECEIVED FROM THE CUSTOMER. THE TESTING RESULTS CONFIRMED THE PRODUCT PERFORMED WITHIN EXPECTED SPECIFICATIONS. THE CUSTOMER ISSUE WAS NOT REPRODUCED THROUGH THE INTERNAL INVESTIGATION PERFORMED ON THE RETAIN SAMPLES, NOR WITH THE CUSTOMERS PLATES PROVIDED. A ROOT CAUSE OF THE EVENT COULD NOT BE ESTABLISHED.

Description of Event or Problem · 1

ON (B)(6) 2020, AN (B)(6) CUSTOMER REPORTED ATYPICAL COLORATION WHEN TESTING SALMONELLA STRAIN WITH CHROMID SALMONELLA 20 PLATES - REFERENCE 43621, LOT 1007807000, EXPIRY DATE 22-MAY-2020. THE CUSTOMER DIDN'T OBTAIN THE CORRECT CHARACTERISTIC COLONY COLOR ON 3 DIFFERENT SAMPLES. THERE IS NO INDICATION OR REPORT FROM THE LABORATORY THAT THE DISCREPANT RESULT LED TO ANY ADVERSE EVENT RELATED TO THE PATIENT'S STATE OF HEALTH. A BIOMÉRIEUX INTERNAL INVESTIGATION HAS BEEN INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
495097 CHROMID SALMONELLA AGAR CHROMID SALMONELLA 20 PLATES - 43621 JWX BIOMÉRIEUX SA 1007807000 03573026118877

Patients

Seq Age Sex Outcome Treatment
1