FDA Adverse Event Malfunction Summary report: N

BD BACTEC¿ MGIT¿ 960 SIRE KIT

MDR report key: 21816036 · Received April 10, 2025

Report

Report Number
1119779-2025-00260
Event Type
Malfunction
Date Received
April 10, 2025
Date of Event
March 12, 2025
Report Date
May 1, 2025
Manufacturer
BECTON DICKINSON & CO. (SPARKS)
Product Code
MJA
PMA / PMN Number
K003062
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INFORMATION FOR THE ADDITIONAL 510K IS AS FOLLOWS: G.4. PMA/510(K)#: K014123. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY - MGIT 960 SIRE SUPPLEMENT KIT BATCH 4242482 IS COMPOSED OF MGIT 960 SIRE SUPPLEMENT BATCH 4193147, MGIT 960 STREPTOMYCIN BATCH 4159881, MGIT 960 ISONIAZID BATCH 4159882, MGIT 960 RIFAMPIN BATCH 4159883, AND MGIT 960 ETHAMBUTOL BATCH 4159884. THE BATCH HISTORY RECORD REVIEWS FOR THE KIT AND EACH OF ITS COMPONENTS WERE SATISFACTORY AND NO QUALITY NOTIFICATIONS WERE GENERATED. THE COMPLAINT HISTORY WAS REVIEWED, AND NO OTHER COMPLAINTS HAVE BEEN TAKEN ON THIS KIT BATCH OR ANY OF THE COMPONENTS. MGIT 960 SIRE SUPPLEMENT IS MANUFACTURED BY REHYDRATING THE MEDIA COMPONENTS WITH USP PURIFIED WATER AND MIXED UNTIL A HOMOGENEOUS SOLUTION IS OBTAINED. THE SOLUTION IS THEN STERILE FILTERED AND DISPENSED INTO VIALS; STOPPERS ARE MANUALLY PLACED IN THE VIAL OPENING; SEPTUM CAPS ARE MANUALLY PLACED ON TOP OF THE STOPPER AND THEN MECHANICALLY CRIMPED PER STANDARD OPERATING PROCEDURES (SOP). ANTIBIOTICS MGIT 960 STREPTOMYCIN, MGIT 960 ISONIAZID, MGIT 960 RIFAMPIN AND MGIT 960 ETHAMBUTOL ARE MANUFACTURED BY REHYDRATING COMPONENTS IN USP PURIFIED WATER AND MIXING INTO A HOMOGENOUS SOLUTION. THE SOLUTION IS THEN STERILE FILTERED, DISPENSED INTO VIALS AND STOPPERED BY MACHINE. THE VIALS ARE LYOPHILIZED AND CRIMP CAPS ARE APPLIED PER SOP. EIGHT MGIT 960 SIRE SUPPLEMENT VIALS ARE THEN MANUALLY PACKAGED WITH ONE VIAL OF EACH ANTIBIOTIC TO MAKE A MGIT 960 SIRE SUPPLEMENT KIT (MATERIAL 245123). RETENTION SAMPLES FROM THE COMPONENTS FROM KIT BATCH 4242482 WERE AVAILABLE FOR INSPECTION. FOR THIS INVESTIGATION 12 RETENTION SAMPLES OF MGIT 960 SIRE SUPPLEMENT BATCH 4193147 WAS INSPECTED. 0/12 SAMPLES CONTAINED CONTAMINATION OR FOREIGN MATTER. FOR FURTHER INVESTIGATION FOUR SIRE SUPPLEMENT VIALS WERE INCUBATED. TWO SUPPLEMENT VIAL CRIMP CAPS WERE REMOVED. ONE UNCRIMPED AND ONE CRIMPED SEALED SUPPLEMENT VIAL WERE PLACED INTO THE 20-25-DEGREE CELSIUS INCUBATOR. ONE UNCRIMPED AND ONE CRIMP SEALED SUPPLEMENT VIAL WERE PLACED INTO THE 33-37-DEGREES CELSIUS INCUBATOR. AT FOURTEEN DAYS OF INCUBATION NO MICROBIAL GROWTH WAS OBSERVED IN 4/4 INCUBATED RETENTION VIALS. THERE IS 1 PHOTO AVAILABLE FOR THIS INVESTIGATION. 1 PHOTO SHOWS A VIAL WITH A CLOUDY CONTAMINANT VISIBLE. THE VIAL LABEL IS NOT VISIBLE IN THE PHOTO. WITHOUT BATCH VERIFICATION, THIS COMPLAINT CANNOT BE CONFIRMED. BD WILL CONTINUE TO TREND COMPLAINTS FOR CONTAMINATION.

Description of Event or Problem · 0

IT WAS REPORTED BEFORE USING THE BD BACTEC¿ MGIT¿ 960 SIRE KIT, A REAGENT BOTTLE INSIDE ONE (1) KIT WAS FOUND TO BE CONTAMINATED. THERE WERE NO HEALTH IMPACT OR CONSEQUENCES REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED BEFORE USING THE BD BACTEC¿ MGIT¿ 960 SIRE KIT, A REAGENT BOTTLE INSIDE ONE (1) KIT WAS FOUND TO BE CONTAMINATED. THERE WERE NO HEALTH IMPACT OR CONSEQUENCES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
471803 BD BACTEC¿ MGIT¿ 960 SIRE KIT SUSCEPTIBILITY TEST POWDERS, ANTIMYCOBACTERIAL MJA BECTON DICKINSON & CO. (SPARKS) 4242482

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown