FDA Adverse Event
Malfunction
Summary report: N
VITEK MS
MDR report key: 10285620
·
Received July 16, 2020
Report
- Report Number
- 9615754-2020-00116
- Event Type
- Malfunction
- Date Received
- July 16, 2020
- Report Date
- July 16, 2020
- Manufacturer
- BIOMERIEUX, SA
- Product Code
- PEX
- UDI-DI
- 03573026359119
- PMA / PMN Number
- DEN130013
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
A CUSTOMER IN (B)(6) NOTIFIED BIOMÉRIEUX OF OBTAINING MISIDENTIFICATION OF MORAXELLA ATLANTAE AS EIKENELLA CORRODENS WHILE TESTING A QC SAMPLE PROVIDED BY THE CHINA MINISTRY OF PUBLIC HEALTH USING THE VITEK® MS INSTRUMENT (REFERENCE # 410895). SERIAL NUMBER OF INSTRUMENT WAS NOT PROVIDED. VITEK® MS RESULTS: KNOWLEDGE BASE (KB): KB VERSION : (B)(4) (CLI) SINGLE CHOICE TO EIKENELLA CORRODENS. VITEK MS RUO MODE - KB (B)(4) : MORAXELLA ATLANTAE. THERE IS NO PATIENT ASSOCIATED WITH THIS QC SAMPLE; THEREFORE, THERE IS NO ADVERSE EVENT RELATED TO ANY PATIENT'S STATE OF HEALTH. A BIOMÉRIEUX INTERNAL INVESTIGATION WILL BE INITIATED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 745242 | VITEK MS | VITEK MS INSTRUMENT | PEX | BIOMERIEUX, SA | 410895 | 03573026359119 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |