ACCUPROBE GROUP B STREPTOCOCCUS CULTURE ID KIT 2820B

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2010-04-06 for ACCUPROBE GROUP B STREPTOCOCCUS CULTURE ID KIT 2820B manufactured by Gen-probe Incorporated.

Event Text Entries

[1521685] The device is a group b (b) (6) test that is primarily used for the detection of group b (b) (6) at 36-38 weeks of pregnancy. A maternal specimen was tested in (b) (6) 2008 with this device from a batch that was subsequently recalled. The test was negative for group b (b) (6). The mother delivered on (b) (6) 2009, the child presented at an emergency room on (b) (6) 2009, and the child died from massive group b strep infection on (b) (6) 2009.
Patient Sequence No: 1, Text Type: D, B5


[8595953] The kit lot number (555368) of this device was subject to a recall due to kits potentially containing empty, or partially empty, tubes labeled as containing probe reagent. If an empty or partially empty tube is used for the positive control, this could result in a delay in correctly identifying the isolate due to an invalid test run. Alternatively, if a filled probe tube is used for the positive control while an empty or partially empty probe tube is used for the patient testing, this could result in a false negative result. All reagents in the kit were labeled correctly. It is estimated that between 1% and 5% of the tubes were defective in the impacted lots. There are multiple potential reasons/causes for the infant contracting group b (b) (6) in (b) (6) 2009, although, the maternal specimen tested negative in (b) (6) 2008. The ivd test kit (the device) was used up at the time of testing and is not available for further evaluation or confirmation.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2024800-2010-00001
MDR Report Key1652529
Report Source06
Date Received2010-04-06
Date of Report2010-04-06
Date of Event2009-01-24
Date Mfgr Received2010-03-10
Device Manufacturer Date2008-10-01
Date Added to Maude2010-04-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCHRISTINA YANG, PH.D.
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO CA 921214362
Manufacturer CountryUS
Manufacturer Postal921214362
Manufacturer Phone8584108703
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameACCUPROBE GROUP B STREPTOCOCCUS CULTURE ID KIT
Product CodeMDK
Date Received2010-04-06
Catalog Number2820B
Lot Number555368
Device Expiration Date2009-06-15
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerGEN-PROBE INCORPORATED
Manufacturer Address10210 GENETIC CENTER DRIVE SAN DIEGO CA 92121436 US 92121 4362


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2010-04-06

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