MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2015-05-20 for NEG URIONE COMBO 61 N/A B1017-414 manufactured by Beckman Coulter.
[5882212]
It was reported that the (b)(4) survey isolate was tested twice on the same day and identified the isolate as leminorella sp. 93. 14%. The isolate was tested using neg urine combo 61 (nuc61) panels. Upon notification from cap of the incorrect result, four additional panels were set up and all attained leminorella identification as initial testing. It was reported that the qc was within range before and after the reported misidentification. The correct id of the isolate was shigella boydii per (b)(4) bacteriology participant summary report.
Patient Sequence No: 1, Text Type: D, B5
[13393054]
The manufacturer participated in the same proficiency survey using (b)(4) survey isolate. When tested on conventional overnight panels and read on the wa instrument, an id of leminorella sp. 93. 14% was attained. When the same panel was read on the autoscan-4 (as-4) instrument, an id of shigella sp. 99. 30% was attained. The difference between the two reads was the cf8 (cephalothin 8 (ug/ml) well; the cf8 well was negative on the wa and positive on the as-4. It was noted that the cf8 well was a weak positive when visually verified. The results from the cf8 panel along with the panel results from the other biochemicals/antimicrobics are used to generate the biotype number for the organism tested and the corresponding identification. An id of shigella was also attained on two additional tests using rapid negative panels. Also, the sample was tested on an analytical profile index (api) strip as a reference test method and a low probability id of shigella sp. Was attained. It is possible that emerging resistance with this organism may be contributing to the identification discrepancy. Please refer to medwatch report number 2919016-2015-00054 for report of a similar event. Beckman coulter internal identifier for this report is cf150422-176 (001).
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2919016-2015-00055 |
| MDR Report Key | 4785404 |
| Report Source | 05,06 |
| Date Received | 2015-05-20 |
| Date of Report | 2015-04-22 |
| Date of Event | 2015-04-20 |
| Date Mfgr Received | 2015-04-22 |
| Date Added to Maude | 2015-06-19 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | NORMA RAHILL |
| Manufacturer Street | 1584 ENTERPRISE BLVD |
| Manufacturer City | WEST SACRAMENTO CA 95691 |
| Manufacturer Country | US |
| Manufacturer Postal | 95691 |
| Manufacturer Phone | 9163742139 |
| Manufacturer G1 | BECKMAN COULTER |
| Manufacturer Street | 2042 ENTERPRISE BLVD |
| Manufacturer City | WEST SACRAMENTO CA 95691 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 95691 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | NEG URIONE COMBO 61 |
| Generic Name | MICRO DILUTION PANEL |
| Product Code | LRG |
| Date Received | 2015-05-20 |
| Model Number | N/A |
| Catalog Number | B1017-414 |
| Lot Number | NOT PROVIDED |
| Operator | OTHER HEALTH CARE PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BECKMAN COULTER |
| Manufacturer Address | 2040 ENTERPRISE BLVD WEST SACRAMENTO CA 95691 US 95691 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-05-20 |