FDA Adverse Event Malfunction Summary report: N

VITEK® 2 GRAM POSITIVE IDENTIFICATION TEST KIT

MDR report key: 7215406 · Received January 24, 2018

Report

Report Number
1950204-2018-00043
Event Type
Malfunction
Date Received
January 24, 2018
Report Date
May 21, 2018
Manufacturer
BIOMERIEUX INC.
Product Code
LQL
UDI-DI
03573026131920
PMA / PMN Number
CL. I EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

AN INTERNAL BIOMÉRIEUX INVESTIGATION WAS PERFORMED DUE TO A CUSTOMER NOTIFICATION OF A MISIDENTIFICATION OF AN AEROCOCCUS SANGUINICOLA STRAIN ON VITEK® 2 (V7.01) GP ID TEST KIT (REF 21342). THE REFERENCE METHOD (SEQUENCING FULL 16S) USED TO DETERMINE THE INTENDED RESULT, GIVES AN EXCELLENT IDENTIFICATION TO THE SPECIES A. SANGUINICOLA (99.83%). ON VITEK 2 (V7.01) GP CARDS, ONE (1) CARD OF THE CUSTOMER LOT (2420462203 CALLED CL) AND ONE (1) CARD OF A RANDOM LOT (2420490403 CALLED RL), FROM CPSE & PVX WERE TESTED. VITEK 2 GAVE: FROM CPSE : -ACCEPTABLE IDENTIFICATION TO THE SPECIES GEMELLA HAEMOLYSANS (85%) ON CL -EXCELLENT IDENTIFICATION TO THE SPECIES AEROCOCCUS VIRIDANS (97%) ON RL FROM PVX : -ACCEPTABLE IDENTIFICATION TO THE SPECIES ALLOIOCOCCUS OTITIS (89%) ON CL -GOOD IDENTIFICATION TO THE SPECIES AEROCOCCUS VIRIDANS (92%) ON RL THE CUSTOMER MISIDENTIFICATIONS WERE DUPLICATED IN HOUSE. THE SPECIES A. SANGUINICOLA IS NOT INCLUDED IN THE VITEK 2 V7.01 GP CARD KNOWLEDGE BASE. THERE IS A LIMITATION FOR SPECIES NOT CLAIMED IN THE KNOWLEDGE BASE : TESTING OF UNCLAIMED SPECIES MAY RESULT IN AN UNIDENTIFIED RESULT OR A MISIDENTIFICATION.

Description of Event or Problem · 1

A CUSTOMER IN (B)(6) CONTACTED BIOMÉRIEUX TO REPORT A MISIDENTIFICATION OF AEROOCOCCUS SPECIES AS GRANULICATELLA ADIACENS IN ASSOCIATION WITH THE VITEK® 2 GRAM-POSITIVE (GP) IDENTIFICATION (ID) TEST KIT. TESTING VIA MASS SPECTOMETRY OBTAINED THE AEROCOCCUS RESULT. THE CUSTOMER INDICATED THERE WAS NO ADVERSE IMPACT TO THE PATIENT'S STATE OF HEALTH DUE TO THE DISCREPANT VITEK® 2 GP ID RESULT. CULTURE SUBMITTAL HAS BEEN REQUESTED BY BIOMÉRIEUX FOR INTERNAL INVESTIGATION. BIOMÉRIEUX INVESTIGATION WILL BE INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
60247 VITEK® 2 GRAM POSITIVE IDENTIFICATION TEST KIT VITEK® 2 GP ID TEST KIT LQL BIOMERIEUX INC. 2420462203 03573026131920

Patients

Seq Age Sex Outcome Treatment
1