FDA Adverse Event Malfunction Summary report: N

CHROMID TM STAPH AUREUS AGAR

MDR report key: 5072147 · Received September 11, 2015

Report

Report Number
3002769706-2015-00083
Event Type
Malfunction
Date Received
September 11, 2015
Report Date
August 7, 2015
Manufacturer
BIOMÉRIEUX SA
Product Code
JWX
PMA / PMN Number
CL. I EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED TO MANUFACTURER.

Additional Manufacturer Narrative · 1

BIOMÉRIEUX INTERNAL INVESTIGATION WAS INITIATED. EVALUATION OF THE QC BATCH RECORDS FOR THE RELEASE OF CHROMID TM S AUREUS AGAR LOT 1004085400 INDICATES PERFORMANCE IN ACCORDANCE WITH SPECIFICATIONS AFTER 20 HOURS AND 24 HOURS OF INCUBATION AT 33-37 ° C. THIS LOT WAS THE SUBJECT OF STOP SHIPMENT ((B)(4), ISSUED 07AUG15) AND FIELD SAFETY CORRECTIVE ACTION (FSCA-2624, ISSUED 19AUG15) DUE TO INGREDIENT DISCREPANCY IN THE DRY ENVIRONMENT OF THE FORMULA USED IN THE MANUFACTURE OF THE LOT. THIS DISCREPANCY CAN INDUCE SLOWER OR WEAKER STAINING OF S. AUREUS STRAINS. CUSTOMERS WERE INSTRUCTED TO DISCARD THE INCRIMINATED PRODUCT LOT. A CAPA WAS INITIATED TO DETERMINE THE ROOT CAUSE OF THE RAW MATERIAL MIXTURE IN THE DRY ENVIRONMENT AND DEFINE THE CORRECTIVE AND PREVENTIVE ACTIONS. TESTING WAS PERFORMED ON THE AGAR PLATES SUBMITTED BY THE CLIENT. THREE (3) STAPHYLOCOCCUS AUREUS STRAINS WERE TESTED: ATCC 6538 AND 13150 GAVE CHARACTERISTIC COLONIES AT 24 HOURS, ATCC 25923 GAVE CHARACTERISTIC COLONIES AT 48 HOURS. THE ISSUE DESCRIBED BY THE CUSTOMER WAS NOT CONFIRMED WITH THE CHROMID S AUREUS PLATES SUBMITTED BY THE CUSTOMER.

Description of Event or Problem · 1

A CUSTOMER IN (B)(6) REPORTED INCONCLUSIVE RESULTS FOR THE STAPH AUREUS ATCC STRAIN (INDICATED IN THE INSTRUCTIONS FOR USE) IN ASSOCIATION WITH CHROMID TM STAPH AUREUS AGAR (REF. 43371, LOT 1004085400). THOUGH GREEN COLONIES ARE THE CORRECT INDICATION FOR A STAPH AUREUS ORGANISM, THE CUSTOMER CLAIMS THE OBSERVED LIGHT GREEN COLONY COLOR IS NOT TYPICAL COMPARED WITH THE OTHER LOT NUMBERS USED IN THE PAST. EVALUATION DURING THE TROUBLESHOOTING ACTIVITIES BY BIOMERIEUX SUPPORT DETERMINED THE REFERENCED LOT NUMBER WAS PLACED ON STOP ORDER BY BIOMERIEUX AND IS ASSOCIATED WITH A FIELD CORRECTIVE ACTION. THERE IS NO INDICATION OR REPORT FROM THE HOSPITAL OR TREATING PHYSICIAN TO BIOMERIEUX THAT THE INCONCLUSIVE RESULT LED TO ANY ADVERSE EVENT RELATED TO A PATIENT'S STATE OF HEALTH. NO PATIENT WAS DIRECTLY ASSOCIATED WITH THE ATCC STRAIN RESULT. STRAIN SUBMITTALS HAVE BEEN REQUESTED BY BIOMERIEUX FOR INTERNAL INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
601915 CHROMID TM STAPH AUREUS AGAR CHROMID STAPH AUREUS AGAR JWX BIOMÉRIEUX SA 1004085400

Patients

Seq Age Sex Outcome Treatment
1