FDA Adverse Event Malfunction Summary report: N

BD BACTEC PLUS AEROBIC/F CULTURE VIALS (PLASTIC)

MDR report key: 11579804 · Received March 27, 2021

Report

Report Number
3008352382-2021-00097
Event Type
Malfunction
Date Received
March 27, 2021
Date of Event
February 25, 2021
Report Date
April 27, 2021
Manufacturer
BECTON DICKINSON CARIBE LTD.
Product Code
MDB
UDI-DI
00382904420239
PMA / PMN Number
K113558
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY BD WAS UNABLE TO REPRODUCE THE CUSTOMER¿S EXPERIENCE WITH THE BACTEC PRODUCT BASED ON OUR INTERNAL PROCEDURES AND THE INTENDED USE OF THE PRODUCT. RETENTION SAMPLES WERE VISUALLY INSPECTED, TESTED FOR VIABLE CONTAMINATION BY SUB-CULTURING ON TSA, CHOCOLATE, SABOURAUD AND SCHAEDLER AGARS PLATES, VOLTAGE OUTPUT AND GRAM STAIN. ALL RESULTS WERE SATISFACTORY. BATCH HISTORY RECORD REVIEW DID NOT IDENTIFY ANY EVIDENCE FOR WHICH THE CUSTOMER SUBMITTED THE COMPLAINT. BD BACTEC SYSTEM IS DESIGNED AND CLEARED FOR THE QUALITATIVE CULTURE AND RECOVERY OF ANAEROBIC/AEROBIC ORGANISMS FROM BLOOD. BD HAS NO SPECIFICATION FOR USE WITH MOLECULAR TESTING SUCH AS THE BIOFIRE FILMARRAY® BLOOD CULTURE IDENTIFICATION BDIC/BCID2 PANELS. WHILE BD HIGHLIGHTS THE INHERENT RISK OF NONVIABLE ORGANISMS IN BLOOD CULTURE MEDIA IN OUR PACKAGE INSERT IS STATED THE MOLECULAR TESTS PERFORMED ON POSITIVE BLOOD CULTURES WILL DETECT BOTH VIABLE AND NON-VIABLE ORGANISMS COMMONLY FOUND IN CULTURE MEDIA. THEREFORE, MOLECULAR TEST RESULTS SHOULD BE EVALUATED IN CONJUNCTION WITH GRAM STAIN RESULTS IN ACCORDANCE WITH STANDARD-OF-CARE PRACTICES AS WELL AS MANUFACTURES¿ INSTRUCTIONS FOR USE. ALTHOUGH BD IS UNABLE TO CONFIRM THE COMPLAINT, WE HAVE INITIATED CAPA # 2631844 TO FURTHER INVESTIGATE THESE REPORTS AND DETERMINE ANY APPROPRIATE ACTIONS TO REDUCE THEIR OCCURRENCE. H3 OTHER TEXT : SEE H10

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BIOFIRE BCID PANEL IDENTIFIED PSUEDOMONAS AERUGINOSA AND ADDITIONAL ORGANISMS IN BD BACTEC¿ PLUS AEROBIC/F CULTURE VIALS (PLASTIC) FOR PATIENT SAMPLES. WHEN THE SPECIMEN WAS SUB-CULTURED PSEUDOMONAS DID NOT GROW. RESULT WAS NOT REPORTED AND PATIENT TREATMENT WAS NOT AFFECTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CUSTOMER REPORTS BOTTLES GAVE RESULT OF PSEUDOMONAS ON BIOFIRE"

Additional Manufacturer Narrative · 1

A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BIOFIRE BCID PANEL IDENTIFIED PSUEDOMONAS AERUGINOSA AND ADDITIONAL ORGANISMS IN BD BACTEC¿ PLUS AEROBIC/F CULTURE VIALS (PLASTIC) FOR PATIENT SAMPLES. WHEN THE SPECIMEN WAS SUB-CULTURED PSEUDOMONAS DID NOT GROW. RESULT WAS NOT REPORTED AND PATIENT TREATMENT WAS NOT AFFECTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CUSTOMER REPORTS BOTTLES GAVE RESULT OF PSEUDOMONAS ON BIOFIRE".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
475985 BD BACTEC PLUS AEROBIC/F CULTURE VIALS (PLASTIC) SYSTEM, BLOOD CULTURING MDB BECTON DICKINSON CARIBE LTD. 442023 0315673 00382904420239

Patients

Seq Age Sex Outcome Treatment
1