FDA Adverse Event Malfunction Summary report: N

BBL SENSI-DISC TICARCILLIN TIC-75

MDR report key: 824835 · Received February 23, 2007

Report

Report Number
1119779-2007-00003
Event Type
Malfunction
Date Received
February 23, 2007
Date of Event
January 30, 2007
Report Date
February 19, 2007
Manufacturer
BD CARIBE, LTD.
Product Code
JTN
Removal / Correction Number
1119779-02/19/2007-R001
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INTERNAL INVESTIGATION OF RETENTION PRODUCT ALSO EXHIBIT A FALSE SUSCEPTIBLE RESULT WHEN TESTED AGAINST E. COLI ATCC 35218. INTERNAL INVESTIGATION HAS SHOWN THAT THIS LOT OF TICARCILLIN CONTAINS CLAVULANIC ACID, A COMPOUND THAT INACTIVATES E. COLI ATCC 35218'S BETA-LACTAMASE ENZYMES, ALLOWING THE ANTIBIOTIC TO KILL THE ORGANISM CREATING A ZONE OF GROWTH INHIBITION WITH THE KIRBY-BAUER TEST METHODOLOGY.

Description of Event or Problem · 1

CUSTOMER WAS HAVING PROBLEMS WITH THE DISCS. CUSTOMER HAS BEEN PERFORMING QC WITH E. COLI 25922 AND P. AERUGINOSA AND HAD ACCEPTABLE RESULTS. CUSTOMER STARTED NOTICING SOME PATIENT ISOLATES, MAINLY K. PNEUMO., THAT WERE SENSITIVE TO TICARCILLIN, WHEN CUSTOMER KNEW THEY SHOULD BE RESISTANT. CUSTOMER TESTED ISOLATES ON VITEK, AND VITEK CALLED THEM RESISTANT. CUSTOMER THEN SET UP E. COLI 35218, AND GOT A ZONE SIZE OF 20, WHEN IT SHOULD BE 6.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BBL SENSI-DISC TICARCILLIN TIC-75 ANTIMICROBIAL SUSCEPTIBILITY TEST DISC JTN BD CARIBE, LTD. * 6167435

Patients

Seq Age Sex Outcome Treatment
1 * Life Threatening