VITEK® 2 GRAM-POSITIVE (GP) IDENTIFICATION (ID) TEST KIT
Report
- Report Number
- 1950204-2018-00432
- Event Type
- Malfunction
- Date Received
- October 15, 2018
- Report Date
- December 26, 2018
- Manufacturer
- BIOMERIEUX INC.
- Product Code
- LQL
- UDI-DI
- 03573026131920
- PMA / PMN Number
- C1 EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
AN INTERNAL BIOMÉRIEUX INVESTIGATION WAS INITIATED DUE TO A MISIDENTIFICATION OF CAP SURVEY ENTEROCOCCUS FAECIUM (CAP D-B 2018, D-11) AS ENTEROCOCCUS GALLINARUM IN ASSOCIATION WITH THE VITEK® 2 GRAM POSITIVE (GP) IDENTIFICATION (ID) TEST KIT. THE CUSTOMER STRAIN WAS NOT AVAILABLE FOR SUBMITTAL NOR WAS THE INITIAL VITEK 2 LAB REPORT SHOWING THE MISIDENTIFICATION; THEREFORE, THE INTERNAL BIOMÉRIEUX CAP STRAIN WAS TESTED. SAMPLE 911778 (BIOMERIEUX CAP STRAIN D-B 2018, D-11 STRAIN): ALL FOUR (4) VITEK GP ID CARDS TESTED RESULTED IN A VERY GOOD IDENTIFICATION OF ENTEROCOCCUS FAECIUM. VITEK® MS GAVE A CONFIRMATORY IDENTIFICATION OF ENTEROCOCCUS FAECIUM AT 99.9%. AS ENTEROCOCCUS FAECIUM WAS THE INTENDED RESULT, THE CUSTOMER'S DISCREPANCY WAS NOT REPRODUCED AND THE VITEK 2 CARDS ARE PERFORMING AS EXPECTED. WITHOUT THE CUSTOMER'S LAB REPORT SHOWING THE MISIDENTIFICATION, IT WAS NOT POSSIBLE TO EXAMINE THE BIOCHEMICAL REACTIONS TO DETERMINE POSSIBLE CAUSES FOR THE DISCREPANCY.
A CUSTOMER IN THE UNITED STATES CONTACTED BIOMÉRIEUX TO REPORT THE OCCURRENCE OF A MISIDENTIFICATION OF CAP SURVEY ENTEROCOCCUS FAECIUM ((B)(4)) AS ENTEROCOCCUS GALLINARUM IN ASSOCIATION WITH THE VITEK® 2 GRAM POSITIVE (GP) IDENTIFICATION (ID) TEST KIT. THERE IS NO INDICATION OR REPORT FROM THE LABORATORY OR A PHYSICIAN THAT THE DISCREPANT RESULT LED TO ANY ADVERSE EVENT RELATED TO ANY PATIENT'S STATE OF HEALTH. THERE WAS NO PATIENT DIRECTLY ASSOCIATED WITH THE CAP SURVEY STRAIN. BIOMÉRIEUX REQUESTED STRAIN SUBMITTAL FROM THE CUSTOMER; HOWEVER, THE STRAIN IS NO LONGER AVAILABLE. A BIOMÉRIEUX INTERNAL INVESTIGATION HAS BEEN INITIATED AND WILL USE BIOMÉRIEUX'S INTERNAL CAP SURVEY STRAIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 806794 | VITEK® 2 GRAM-POSITIVE (GP) IDENTIFICATION (ID) TEST KIT | VITEK® 2 GP ID CARD | LQL | BIOMERIEUX INC. | 2420554103 | 03573026131920 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |