VITEK? 2 AST-YS07 TEST KIT 414967

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2016-10-28 for VITEK? 2 AST-YS07 TEST KIT 414967 manufactured by Biomerieux, Inc.

Event Text Entries

[58824369] Device not returned to manufacturer.
Patient Sequence No: 1, Text Type: N, H10


[58824370] A customer in (b)(6) reported the occurrence of false susceptible fluconazole (mic <=1 mg/l) for candida albicans (b)(6) sample in association with the vitek 2 ast-ys07 test kit. Repeat test obtained the same result. As evident from the report from (b)(6), approximately 50% of the laboratories involved in the survey using automated susceptibility testing systems reported the candida albicans strain as susceptible for fluconazole, itraconazole, and voriconazole. There is no indication or report from the laboratory that the discrepant result led to any adverse event related to any patient's state of health. There was no patient directly associated with the survey sample. Culture submittal was requested by biomerieux for internal investigation. Biomerieux investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5


[68240503] A customer in denmark reported the occurrence of false susceptible fluconazole (mic <=1 mg/l) for candida albicans neqas sample in association with the vitek? 2 ast-ys07 test kit. An internal investigation was performed. This investigation was initiated due to discrepant results on three (3) drugs ( amphoterin b, fluconazole, voriconazole)on ast-ys07 card for one isolate candida albicans, from an external quality control called neqas (distribution 3789-strain 2938). Neqas information/expected results: -amphotericin b mic = 0. 125mg/l s. -fluconazole mic >6 4 mg/l r. . -voriconazole mic >8 mg/l r. Please note: in the final report from neqas, fluconazole and voriconazole were not graded since the "levels of concordance with fluconazole (63%) and voriconazole (59%) did not reach the requisite 80% of participants". Biom? Rieux performed the reference methods to determine the intended results for amphotericin b (broth macrodiution), and for fluconazole and voriconazole (both microdilution), compared to vitek? 2 ast-ys07 cards. Amphotericin b reference mic= 0. 5mg/l s, fluconazole ref mic >64 mg/l r and voriconazole ref mic >16 mg/l r were obtained. On vitek? 2, the following were obtained: -from sda media and on 2 ast-ys07 lots: ab mic =8 r (>=16 r) - flu mic =16 i and vrc mic= 1s. -from cos media and on 1 ast-ys07 lot: ab mic =8 r - flu mic <=1s and vrc mic<=0. 125 s. Vitek? 2 amphotericin b results (8 - >=16 mg/l r) are in essential agreement error (gap >2 doubling dilutions with the reference mic) which lead to a major error. Vitek? 2 fluconazole results (<=1 mg/l s) and voriconazole results (<=0. 125- 1 mg/l s) are in essential agreement errors (gap >2 doubling dilutions with the reference mic) which lead to a very major error for each drug. Biom? Rieux duplicated the non-reproducible results and the discrepancies with expected neqas values. The investigation concluded that the isolate exhibits atypical growth behavior.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1950204-2016-00160
MDR Report Key6064646
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-10-28
Date of Report2017-02-17
Date Mfgr Received2016-04-26
Date Added to Maude2016-10-28
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 AST-YS07 TEST KIT
Generic NameVITEK? 2 AST-YS07 TEST KIT
Product CodeNGZ
Date Received2016-10-28
Catalog Number414967
OperatorHEALTH PROFESSIONAL
Device Availability*
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
10 2016-10-28

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