FDA Adverse Event Malfunction Summary report: N

VITEK® 2 GRAM POSITIVE TEST KIT

MDR report key: 6993319 · Received November 1, 2017

Report

Report Number
1950204-2017-00360
Event Type
Malfunction
Date Received
November 1, 2017
Report Date
February 6, 2018
Manufacturer
BIOMERIEUX INC.
Product Code
LQL
UDI-DI
03573026131920
PMA / PMN Number
C1 EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A CUSTOMER IN (B)(6) NOTIFIED BIOMÉRIEUX OF RECURRENT MISIDENTIFICATIONS OF ENTEROCOCCUS FAECALIS QC STRAINS AS ENTEROCOCCUS FAECIUM, IN ASSOCIATION WITH VITEK® 2 GP ID TEST KIT. AN INVESTIGATION WAS PERFORMED. THE INTENDED IDENTIFICATION TO ENTEROCOCCUS FAECALIS WAS CONFIRMED ON VITEK MS V3 (KNOWLEDGE BASE V3.0). ON VITEK 2 (V7.01) GP CARDS, ONE (1) CARD OF THE CUSTOMER LOT (CL1 : 2420434403), ONE (1) CARD OF THE CUSTOMER LOT (CL2 : 2420330113) AND ONE (1) CARD OF A RANDOM LOT (RL : 2420490403) WERE TESTED FROM CBA SUBCULTURE. ALL THREE (3) CARD LOTS GAVE AN EXCELLENT IDENTIFICATION TO E. FAECALIS. THE CUSTOMER MISIDENTIFICATION WAS NOT DUPLICATED IN-HOUSE. THE VITEK 2 GP CARD PERFORMED AS INTENDED. NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

A CUSTOMER IN (B)(6) NOTIFIED BIOMÉRIEUX OF RECURRENT MISIDENTIFICATION OF THEIR QC STRAIN, NCTC 12697 ENTEROCOCCUS FAECALIS, IN ASSOCIATION WITH VITEK® 2 GP ID TEST KIT (REF. 21342, LOT 2420434403). THE VITEK® 2 CARD IDENTIFIED THIS STRAIN AS ENTEROCOCCUS FAECIUM. THERE IS NO INDICATION OR REPORT FROM THE LABORATORY THAT THE DISCREPANT RESULTS LED TO ANY ADVERSE EVENT RELATED TO ANY PATIENT'S STATE OF HEALTH. THERE WAS NO PATIENT ASSOCIATED WITH THE QC STRAIN. A BIOMÉRIEUX INTERNAL INVESTIGATION WILL BE INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
773319 VITEK® 2 GRAM POSITIVE TEST KIT VITEK® 2 GP TEST KIT LQL BIOMERIEUX INC. 2420434403 03573026131920

Patients

Seq Age Sex Outcome Treatment
1