MAUDE MDR 3368323

MDR report key
3368323
Report number
2919016-2013-00010
Event key
0
Event type
3
Date of event
2012-05-27
Date received
2013-09-11
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
LESLIE ARDIZONE
Address
2040 ENTERPRISE BLVD. WEST SACRAMENTO CA 95691 US
Phone
916-916-9163
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SYNERGIES PLUS NEGATIVE URINE COMBO 2SYNERGIES PLUS NEGATIVE BREAKPOINT COMBSIEMENS HEALTHCARE DIAGNOSTICS, INC.LTTB1025-1122013-06-08R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12013-09-110

Event Narratives#

D

Patient 1

ON INITIAL TESTING ((B)(6) 2012), THE CUSTOMER OBSERVED A SUSCEPTIBLE IMIPENEM RESULT ON B1025-112 (LOT NUMBER UNAVAILABLE) SURVEY D-12 K. PNEUMONIAE. THE CORRECT RESULT FOR IMIPENEM WAS INTERMEDIATE OR RESISTANT. ON REPEAT TESTING ON (B)(6) 2012 USING B1025-112, LOT 2013-06-08, SUSCEPTIBLE IMIPENEM RESULTS WERE AGAIN OBSERVED FOR THE WALKAWAY READ. WHEN THE PANELS WERE VISUALLY CHECKED, THERE WAS GROWTH IN THE IMIPENEM WELLS (IMIPENEM WOULD BE CALLED RESISTANT BY MANUAL READ). SIEMENS MICROSCAN CONDUCTED A FIELD CORRECTION, INTERNAL NUMBER MSSW 13-02 (FDA NUMBER HAS NOT BEEN ASSIGNED) ON 08/21/2013 FOR FALSE SUSCEPTIBLE IMIPENEM AND MEROPENEM WITH SYNERGIES PLUS NEGATIVE PANELS. THE CUSTOMER LETTER STATED THAT DUE TO FALSE SUSCEPTIBLE RESULTS WITH IMIPENEM AND MEROPENEM SHOULD NOT BE REPORTED FOR SUSCEPTIBLE OR INTERMEDIATE IMIPENEM OR MEROPENEM ON MICROSCAN SYNERGIES PLUS GRAM NEGATIVE PANELS. AS PART OF THE FIELD ACTION, COMPLAINTS WERE REVIEWED AND IT WAS DETERMINED A MDR WAS NEEDED FOR THIS CUSTOMER COMPLAINT.

N

Patient 1

METHOD - CUSTOMER RESULTS WERE COMPARED TO THE SURVEY EXPECTED RESULTS. RESULTS - RESULTS RECEIVED ON THE MICROSCAN PRODUCT DID NOT AGREE WITH SURVEY RESULTS. CONCLUSION - RESULTS RECEIVED ON THE MICROSCAN PRODUCT DID NOT AGREE WITH SURVEY RESULTS.