FDA Adverse Event
Malfunction
Summary report: N
T-SOY BROTH
MDR report key: 20953259
·
Received December 16, 2024
Report
- Report Number
- MW5163677
- Event Type
- Malfunction
- Date Received
- December 16, 2024
- Date of Event
- November 4, 2024
- Report Date
- December 12, 2024
- Manufacturer
- REMEL, INC.
- Product Code
- JSG
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
NUMEROUS PATIENTS WERE IDENTIFIED AS HAVING DISCREPANT MICROBIOLOGY RESULTS. TISSUE SPECIMEN GRAM STAINS WERE REPORTED POSITIVE; GRAM POSITIVE COCCI IN SHORT CHAINS YET THE CULTURES WERE NEGATIVE. AFTER FURTHER INVESTIGATION, IT WAS DETERMINED THAT THE TRYPTIC SOY BROTH (TRYPTIC SOY BROTH) UTILIZED FOR GRAM STAIN PROCESSING WAS CONTAMINATED. THE USE OF ALL SUSPECTED CONTAMINATED TRYPTIC SOY BROTH HAS BEEN DISCONTINUED. THE DISTRIBUTOR HAS BEEN ALERTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 227474 | T-SOY BROTH | CULTURE MEDIA, NON-SELECTIVE AND NON-DIFFERENTIAL | JSG | REMEL, INC. | 185090 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |