FDA Adverse Event Malfunction Summary report: N

CHROMID CPS ELITE TRANSLUCENT 100 PLT

MDR report key: 5091648 · Received September 21, 2015

Report

Report Number
3002769706-2015-00096
Event Type
Malfunction
Date Received
September 21, 2015
Report Date
August 27, 2015
Manufacturer
BIOMERIEUX SA
Product Code
JXA
PMA / PMN Number
CL I, EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED TO MANUFACTURER.

Additional Manufacturer Narrative · 1

REVIEW OF QC BATCH RECORDS INDICATE CONFORMANCE TO SPECIFICATIONS. DURING THE INVESTIGATION, SIXTY (60) CHROMID TM CPS ELITE AGAR PLATES WERE TESTED; THE PLATES WERE ASSOCIATED WITH THREE (3) DIFFERENT TIMEFRAMES OF THE MANUFACTURING PROCESS FOR THE IDENTIFIED BATCH (11:25, 16:24 AND 19:40). THE PLATES WERE NOT INOCULATED. THE PLATES WERE INCUBATED FOR FIVE (5) DAYS AT 33-37ºC. RESULTS CONFORMED TO SPECIFICATIONS FOR CONTAMINATION; ZERO (0) CONTAMINATIONS OBSERVED IN 60 PLATES. THERE IS NO EVIDENCE OF A CONTAMINATION ISSUE WITH THE CHROMID TM CPS ELITE AGAR PRODUCT.

Description of Event or Problem · 1

A CUSTOMER CALLED IN COMPLAINING OF A CONTAMINATE ON (B)(4),CHROMID(TM) CHROMID CPS PLATES, LOT 1004145580 DISCOVERED AFTER INCUBATION. BACTERIUM CONTAMINATION IS PRESENTING AS A BROWNISH-YELLOW UNIDENTIFIED COLONY. CUSTOMER REPORTS NO PATIENT RESULTS WERE AFFECTED. AN INTERNAL INVESTIGATION HAS BEEN LAUNCHED USING RETAINED PLATES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
623545 CHROMID CPS ELITE TRANSLUCENT 100 PLT CHROMID CPS ELITE TRANSLUCENT 100 PLT JXA BIOMERIEUX SA 1004145580

Patients

Seq Age Sex Outcome Treatment
1