FDA Adverse Event Death Summary report: N

XPERT MRSA/SA BC

MDR report key: 7380500 · Received March 28, 2018

Report

Report Number
3004530258-2018-00001
Event Type
Death
Date Received
March 28, 2018
Date of Event
February 21, 2018
Report Date
March 28, 2018
Manufacturer
CEPHEID
Product Code
NQX
UDI-DI
07332940000141
PMA / PMN Number
K101879
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THERE IS NO INDICATION OR ALLEGATION FROM THE FIELD/CLINIC THAT THE DEVICE CONTRIBUTED TO THE INCIDENT. (B)(6) INVESTIGATION HAS DETERMINED THAT THIS IS NOT A DEVICE MALFUNCTION, PRODUCT IS ADEQUATELY LABELED AND THE PRODUCT HAS PERFORMED ACCORDING TO PRODUCT CLAIMS. (B)(4).

Description of Event or Problem · 1

THIS CASE CONCERNED A DISCREPANCY BETWEEN (B)(6) RESULTS, WHICH WERE INITIALLY REPORTED (B)(6) / (B)(6) ON (B)(6) 2018. THE FOLLOWING DAY ((B)(6) 2018), (B)(6) GREW IN CULTURE AND WAS CONFIRMED AS (B)(6) BY MICROSCAN AND DISK DIFFUSION. THE BLOOD CULTURE BOTTLE WAS RETESTED AND WAS DETERMINED TO BE (B)(6) BY (B)(6) (LIKELY A MUTATION WITHIN (B)(6) TARGETS PROBE OR BINDING SITES). ACCORDING TO THE LAB, THERE WAS A DELAY IN REPORTING (B)(6) BY APPROXIMATELY 24 HOURS AND DURING THIS TIME THE PATIENT WAS NOT ON (B)(6) ACTIVE DRUGS. PATIENT WAS A (B)(6) YEAR OLD MALE FROM A NURSING HOME ADMITTED FOR SEPSIS. PATIENT DIED ON (B)(6) 2018, ALTHOUGH HIS ANTIBIOTIC THERAPY HAD BEEN CHANGED TO THREE DRUGS TO WHICH THE (B)(6) ORGANISM WAS SUSCEPTIBLE. THE DISCREPANT RESULT MAY HAVE CONTRIBUTED TO THE PATIENT'S DEATH. A FOLLOW-UP BLOOD CULTURE USING (B)(6) REPORTED (B)(6) (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
219918 XPERT MRSA/SA BC GXMRSA/SA-BC-10 NQX CEPHEID XPERT MRSA/SA BC 1000078626 07332940000141

Patients

Seq Age Sex Outcome Treatment
1 75 YR Death