FDA Adverse Event Malfunction Summary report: N

VITEK® 2 GRAM-POSITIVE (GP) IDENTIFICATION (ID) TEST KIT

MDR report key: 7966951 · Received October 15, 2018

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

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

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