FDA Adverse Event Malfunction Summary report: N

VITEK® 2 GN TEST KIT

MDR report key: 7083047 · Received December 5, 2017

Report

Report Number
1950204-2017-00428
Event Type
Malfunction
Date Received
December 5, 2017
Report Date
February 21, 2018
Manufacturer
BIOMERIEUX, INC
Product Code
LQM
PMA / PMN Number
C1 EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WAS INITIALLY SUBMITTED FOLLOWING NOTIFICATION THAT A CUSTOMER IN THE UNITED STATES REPORTED A DISCREPANT ORGANISM IDENTIFICATION IN ASSOCIATION WITH THE VITEK® 2 GRAM-NEGATIVE (GN) IDENTIFICATION (ID) TEST KIT (CARD). THE ORGANISM WAS REPORTED AS AEROMONAS SPECIES. THE STRAIN WAS IDENTIFIED BY MALDI-TOF AS PSEUDOMONAS AERUGINOSA . BIOMÉRIEUX INVESTIGATION WAS CONDUCTED; HOWEVER, THE STRAIN, LAB REPORT AND RAW DATA WERE NOT AVAILABLE FOR SUBMISSION. GN ID LOT # 2410252203 MET FINAL QC RELEASE CRITERIA. THIS LOT PASSED QC PERFORMANCE TESTING. NO NCMRS WERE WRITTEN AGAINST THIS LOT. NCMRS WERE REVIEWED FOR THE LAST 13 MONTHS (23DEC2016-23JAN2018); NO NCMRS WERE WRITTEN AGAINST THE GN ID CARD. WITHOUT STRAIN, LAB REPORTS AND RAW DATA, ITS NOT POSSIBLE TO FURTHER EVALUATE THE CAUSE OF THE MIS-IDENTIFICATION. THE INVESTIGATION CONCLUDED THERE IS NO INVESTIGATIONAL EVIDENCE THAT THE VITEK 2 GN ID CARD PERFORMED OUTSIDE OF SPECIFICATIONS.

Description of Event or Problem · 1

A CUSTOMER FROM THE UNITED STATES REPORTED TO BIOMÉRIEUX A MISIDENTIFICATION OF PSEUDOMONAS AS AEROMONAS IN ASSOCIATION WITH THE VITEK® 2 GN TEST KIT. THE CUSTOMER REPORTED THAT THE TEST WAS REPEATED AND THE SAME RESULT WAS OBTAINED. THE CUSTOMER STATED THE MASS SPECTROMETRY RESULT MATCHED THE EXPECTED ORGANISM IDENTIFICATION. NO ADDITIONAL INFORMATION HAS BEEN PROVIDED FROM THE CUSTOMER. THERE IS NO INDICATION OR REPORT FROM THE HOSPITAL OR TREATING PHYSICIAN TO BIOMÉRIEUX THAT THE DISCREPANT RESULT LED TO ANY ADVERSE EVENT RELATED TO THE PATIENT'S STATE OF HEALTH. A BIOMÉRIEUX INTERNAL INVESTIGATION WILL BE INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
863021 VITEK® 2 GN TEST KIT VITEK® 2 GN TEST KIT LQM BIOMERIEUX, INC 2410252203

Patients

Seq Age Sex Outcome Treatment
1