VIDAS ANALYZER W2205

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-07-29 for VIDAS ANALYZER W2205 manufactured by Biom?rieux Italia.

Event Text Entries

[24655219] Evaluated on-site by service engineer.
Patient Sequence No: 1, Text Type: N, H10


[24655220] A customer in the united states reported a qcv (quality control verification) test failure in association with the vidas system in section b, slot 4. The section was placed offline waiting for the field service engineer to resolve the issue. Samples tested in section b, slot 4 since the last successful qcv (performed (b)(6) 2015, according to the customer) were re-tested, and the customer performed a retrospective analysis. From the last successful qcv until the malfunction reported on (b)(6) 2015, five (5) tests gave a different value on retest: 2 mumps tests initially found negative gave a positive result on retest, 2 lyme tests initially found negative gave a positive result on retest, 1 cmvg test initially found negative gave a positive result on retest. The customer indicated the following initial results were reported to physician: 1 mumps test initially found negative then positive on retest, 2 lyme tests initially found negative then positive on retest, 1 cmvg test initially found negative then positive on retest. There has been no report of death or serious injury as a consequence of "slot b4" test results since the last successful qcv test was performed. There is no indication or report from the hospital or treating physician to biomerieux that the results lead to any adverse event related to the patient's state of health. A biomerieux field service engineer visited the site on (b)(6) 2015 to service the system and resolved the issue. Field service engineer evaluation: 1) performed qcv failure troubleshooting, 2) performed section b pump test - failed, 3) cleaned pump, 4) replaced solid phase receptacle (spr) seals, 5) performed qcv leak test - passed, 6) performed qcv test - passed. Post-service testing indicates system operation is normal. Cause of qcv failure in section b, slot 4 is resolved.
Patient Sequence No: 1, Text Type: D, B5


[40309144] Biom? Rieux investigation was conducted. Analysis of vidas? Qcv results from the customer : following the observation of low concentration results on the position b04, the customer performed two successive qcv tests on 17jul15. Both qcv tests confirmed a pipetting issue (clogging or leakage) on the position b04. The most recent successful qcv on the position b04 was obtained on 01jul15. The customer follows the biom? Rieux receommendation of perfroming qcv on a monthly basis. The anomaly began sometime after 01jul15. Analysis of the field service engineer (fse) maintenance report for qcv out of range : the fse performed a pump test. The pump test value obtained confirmed a clogged pump channel at the b04 location. The other positions of the section are not affected. The fse cleaned the pump channel. Subsequent pump test conformed to specification. The qcv tests performed after the curative maintenance confirmed that the issue was resolved by the fse intervention. Retrospective analysis : since the last successful qcv on the position b04, five (5) patient tests provided a different value upon retest : 2 mumps tests initially found negative gave a positive result on retest: 2 lyme tests initially found negative gave a positive result on retest; 1 cmvg test initially found negative gave a positive result on retest. Based on details and statements provided by the customer, there is no evidence/indication of any impact on the patient treatment. Following fse intervention, the customer's vidas system is functioning in accordance with specifications.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3002769706-2015-00059
MDR Report Key4949771
Date Received2015-07-29
Date of Report2015-07-17
Date Mfgr Received2015-07-17
Date Added to Maude2015-07-29
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 FDA3
Event Location3
Manufacturer ContactMR. RYAN LEMELLE
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer Phone3147318582
Manufacturer G1BIOMERIEUX, INC
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityST. LOUIS MO 63042
Manufacturer CountryUS
Manufacturer Postal Code63042
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVIDAS ANALYZER
Generic NameVIDAS ANALYZER
Product CodeDEW
Date Received2015-07-29
Catalog NumberW2205
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOM?RIEUX ITALIA
Manufacturer AddressVIA DI CAMPIGLIANO 58 PONTE-A EMA FIRENZE, ITALY 50015 IT 50015


Patients

Patient NumberTreatmentOutcomeDate
10 2015-07-29

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