VITEK? 2 ANAEROBIC AND CORYNEBACTERIA IDENTIFICATION TEST KIT 21347

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2016-07-28 for VITEK? 2 ANAEROBIC AND CORYNEBACTERIA IDENTIFICATION TEST KIT 21347 manufactured by Biomerieux, Inc.

Event Text Entries

[50624926] (b)(4). Biom? Rieux internal investigations were conducted for events #1 and #2. For event #3, investigation results are pending. Event #1 and event #2: on the abp qc survey, strain br1, we confirmed the identification expected to trueperella pyogenes with vitek? Ms (ivd v2. 0 ) and api coryne. We obtained on anc cards (customer lot + random lot), a low discriminated profile between trueperella pyogenes and actinomyces odontolyticus with 2 tests against / species. Atypical biochemical profile of the strain lead to a low level of identification on anc card. It is recommended in this case to perform complementary test to conclude. We did not duplicate the misidentification obtained by customer. We observed that internal biochemical profile is similar except for 2 tests borderline (+) instead of positive, more in favor of trueperella pyogenes. The anc cards are performing as expected and no further action is required.
Patient Sequence No: 1, Text Type: N, H10


[50624927] This report summarizes 3 malfunction events. (b)(4). A review of events indicated that testing via vitek 2 anaerobic and corynebacteria (anc) identification (id) test kit resulted in organism misidentifications to include: actinomyces odontolyticus instead of trueperella pyogenes involving a quality control sample. Actinomyces odontolyticus instead of trueperella pyogenes involving a quality control sample. Corynebacterium minutissimum instead of corynebacterium diphtheria involving a patient sample. For all three (3) events, there was no indication or report of adverse events or negative patient due to the discrepant results. For events #1 and #2, the customers indicated the strains were not available for submittal and for event #3, the isolate was requested.
Patient Sequence No: 1, Text Type: D, B5


[55587446] This report was initially submitted following notification that a customer in the united states reported an occurrence of a misidentification of corynebacterium diphtheria as corynebacterium minutissimum in association with the vitek? 2 anc id test kit. Biom? Rieux investigation was conducted. Testing of the isolate included one (1) anc id card from the same lot tested by the customer and one (1) anc id card from a random lot. Both anc id cards provided an organism identification of corynebacterium minutissimum. Since the centers for disease control (cdc) determined the organism to be corynebacterium diphtheria, no further internal testing was performed. Review of the internal raw data against the expected reactions for corynebacterium diphtheriae show there to be two (2) atypical negative reactions (ellm, mte) which contributed to the misidentification. The overall investigation concluded the submitted strain exhibits atypical growth behavior for the vitek? 2 anc id testing method. Device not returned to manufacturer.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1950204-2016-00071
MDR Report Key5828863
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-07-28
Date of Report2016-05-31
Date Mfgr Received2016-05-31
Device Manufacturer Date2015-03-12
Date Added to Maude2016-07-28
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 ContactMRS. ELLEN WELTMER
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer Phone3147317301
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 NameVITEK? 2 ANAEROBIC AND CORYNEBACTERIA IDENTIFICATION TEST KIT
Generic NameVITEK? 2 ANC CARD
Product CodeJSP
Date Received2016-07-28
Catalog Number21347
Lot Number244355810
Device Expiration Date2016-09-10
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOMERIEUX, INC
Manufacturer Address595 ANGLUM ROAD ST. LOUIS MO 63042 US 63042


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening 2016-07-28

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