BD BACTEC¿ LYTIC/10 ANAEROBIC/F CULTURE VIALS (PLASTIC)
Report
- Report Number
- 3008352382-2023-00286
- Event Type
- Malfunction
- Date Received
- October 25, 2023
- Date of Event
- September 30, 2023
- Report Date
- December 7, 2023
- Manufacturer
- BD CARIBE, LTD
- Product Code
- MDB
- UDI-DI
- 00382904420215
- PMA / PMN Number
- K123903
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
H.6. INVESTIGATION SUMMARY: CATALOG: 442021. BATCH NO.: 3152014. CUSTOMER REPORTED A MOLECULAR FALSE POSITIVE RESULT. NEITHER PHOTOS NOR RETURNED GOOD SAMPLES WERE RECEIVED. 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. A COMPLAINT HISTORY REVIEW WAS CONDUCTED, AND BATCH HAS BEEN PREVIOUSLY INVESTIGATED FOR THE REPORTED DEFECT. NO TREND IDENTIFIED FOR BATCH. COMPLAINT IS UNCONFIRMED BASED ON RETENTION SAMPLES AND BATCH HISTORY RECORD REVIEW RESULTS.
H3. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.
IT WAS REPORTED THAT BD BACTEC¿ LYTIC/10 ANAEROBIC/F CULTURE VIALS (PLASTIC) SHOWED FALSE POSITIVE FOR C. TROPICALIS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER. CUSTOMER PROBLEM: CUSTOMER REPORTED FALSE POSITIVE C. TROPICALIS RESULTS WITH BIOFIRE BCID2. BIOFIRE LOT 2Z7Y23. GRAM STAIN HAD GRAM NEGATIVE RODS. BIOFIRE HAD E. COLI, CTX-M AND C. TROPICALIS DETECTED. DID AN INJURY OCCUR? NO. DID ERRONEOUS RESULTS OCCUR? YES. IF YES, DETAILED ERRONEOUS RESULTS (INCLUDE # OF ERRORS AND TYPE): FALSE POSITIVE FOR C. TROPICALIS. RESULTS NOT REPORTED IN ERROR. CUSTOMER HAS A RULE IN THE LIS TO NOT REPORT. IF YES, WAS PATIENT TREATMENT CHANGED IN RESULT OF ERRONEOUS RESULTS (PROVIDE DETAILS): NO. DID ANY HAZARD OCCUR (E.G. EXPOSURE TO BLOOD/BODILY FLUID, NEEDLE/PROBE STICK, SAFETY ISSUE)? NO.
IT WAS REPORTED THAT BD BACTEC¿ LYTIC/10 ANAEROBIC/F CULTURE VIALS (PLASTIC) SHOWED FALSE POSITIVE FOR C. TROPICALIS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER. CUSTOMER PROBLEM: CUSTOMER REPORTED FALSE POSITIVE C. TROPICALIS RESULTS WITH BIOFIRE BCID2. BIOFIRE LOT 2Z7Y23. GRAM STAIN HAD GRAM NEGATIVE RODS. BIOFIRE HAD E. COLI, CTX-M AND C. TROPICALIS DETECTED. DID AN INJURY OCCUR?: N. DID ERRONEOUS RESULTS OCCUR?: YES. IF YES¿DETAILED ERRONEOUS RESULTS (INCLUDE # OF ERRORS AND TYPE): FALSE POSITIVE FOR C. TROPICALIS. RESULTS NOT REPORTED IN ERROR. CUSTOMER HAS A RULE IN THE LIS TO NOT REPORT. IF YES¿WAS PATIENT TREATMENT CHANGED IN RESULT OF ERRONEOUS RESULTS (PROVIDE DETAILS): N. DID ANY HAZARD OCCUR (E.G. EXPOSURE TO BLOOD/BODILY FLUID, NEEDLE/PROBE STICK, SAFETY ISSUE)?: N.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2111043 | BD BACTEC¿ LYTIC/10 ANAEROBIC/F CULTURE VIALS (PLASTIC) | SYSTEM, BLOOD CULTURING | MDB | BD CARIBE, LTD | 3152014 | 00382904420215 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |