FDA Adverse Event Malfunction Summary report: N

NET TEST

MDR report key: 161055 · Received March 27, 1998

Report

Report Number
161055
Event Type
Malfunction
Date Received
March 27, 1998
Date of Event
March 14, 1998
Report Date
March 26, 1998
Manufacturer
REMEL
Product Code
JSX
Product Problem
Yes
Report Source
User Facility report
Reporter Location
LA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

A GONORRHEA CULTURE RECEIVED IN THE LAB ON 3/14/98. IT WAS PLATED OUT ACCORDING TO LAB POLICY. THE NEXT DAY THE CULTURE WAS READ AS A POSITIVE NEISSERIA GONORRHEA WITH MODERATE GROWTH OR GRAM NEGATIVE DIPLOCOCCI. THE ISOLATE WAS TESTED WITH THE NET TESTING KIT. CONTROLS WERE SET UP ALONG WITH THE TEST SPECIMEN. THE TEST WAS PERFORMED ACCORDING TO TESTING PROCEDURE. THE TEST REAGENT TURNED RED WHICH IS INTERPRETED AS N. GONORRHAE. THE TEST WAS REPEATED AND THE RESULTS WERE THE SAME. THE CULTURE WAS SENT FOR CONFIRMATION, WHEN THE RESULTS WERE RECEIVED, THE NET TEST WAS REPEATED BY A SECOND TECHNOLOGIST AND THE RESULTS WERE THE SAME AS THE FIRST TESTING. WHEN THE CULTURE WAS SENT OUT FOR CONFIRMATION THE RESULTS WERE NEGATIVE FOR N. GONORRHEA. ON 3/24/98 THE SPECIMEN WAS TESTED WITH A NEW LOT OF NET AND THE SPECIMEN WAS IDENTIFIED AS NEISSERIA MENINGITIDIS. THE SPECIMEN WAS REPEATED A THIRD TIME WITH THE FIRST KIT AND ALSO WAS IDENTIFIED AS N. MENINGITIDIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NET TEST LABORATORY TESTING KIT FOR IDENTIFICATION OF N. GONORRHEA JSX REMEL * 230052

Patients

Seq Age Sex Outcome Treatment
1 NA Other