MAUDE MDR 6316107

MDR report key
6316107
Report number
1950204-2017-00047
Event key
0
Event type
3
Date received
2017-02-09
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MRS. ELLEN WELTMER
Address
595 ANGLUM ROAD ST. LOUIS MO 63042 US
Phone
314-314-3147
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VITEK? 2 ANC TEST KITVITEK? 2 ANC TEST CARDBIOMERIEUX, INCJSP213472440100103R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-02-090

Event Narratives#

D

Patient 1

A CUSTOMER FROM (B)(6) REPORTED TO BIOM?RIEUX A MISIDENTIFICATION OF CORYNEBACTERIUM MACGINLEYI AS PROPIONIBACTERIUM ACNES AND EGGERTHELLA CATENAFORMIS, FOR A BACILLUS GRAM POSITIVE OCULAR SAMPLE, IN ASSOCIATION WITH THE VITEK? 2 ANC TEST KIT. THE CUSTOMER STATED THE IDENTIFICATION OF EGGERTHELLA CATENAFORMIS (96%) WAS GIVEN ON THE ANC CARD SEVERAL TIMES. THE CUSTOMER STATED THE BACTERIA WAS ANAEROBIC AND HAD GOOD GROWTH ON COS AND ANC AGAR. BIOM?RIEUX ADVISED THE CUSTOMER TO IDENTIFY THE ISOLATE WITH ANOTHER TECHNIQUE. THE ISOLATE WAS SENT TO AN EXTERNAL LABORATORY WHICH IDENTIFIED IT AS CORYNEBACTERIUM MACGINLEYI BY MALDI-TOF. THE CUSTOMER REPORTED THAT THE INCORRECT RESULTS WERE NOT REPORTED TO A PHYSICIAN AND DID NOT IMPACT PATIENT RESULTS OR TREATMENT. THERE WAS A DELAY IN REPORTING RESULTS. THE CUSTOMER RESULT COULD NOT BE CONFIRMED AS THE ISOLATE WAS NOT AVAILABLE FOR TESTING. THE TEST REPORTS WERE REQUESTED FROM THE CUSTOMER. THE ISOLATE WAS NOT AVAILABLE. A BIOM?RIEUX INTERNAL INVESTIGATION WAS CONDUCTED. CORYNEBACTERIUM MACGINLEYI IS NOT A CLAIMED SPECIES FOR THE ANC CARD. THE FOLLOWING STATEMENT IS LISTED IN THE LIMITATIONS SECTION OF THE PRODUCT LABELING: NEWLY DESCRIBED OR RARE SPECIES MAY NOT BE INCLUDED IN THE ANC DATABASE. SELECTED SPECIES WILL BE ADDED AS STRAINS BECOME AVAILABLE. TESTING OF UNCLAIMED SPECIES MAY RESULT IN AN UNIDENTIFIED RESULT OR A MISIDENTIFICATION. A REVIEW OF QUALITY RECORDS CONFIRMED THAT ANC LOT 2440100103 MET THE CRITERIA FOR FINAL RELEASE AND PERFORMANCE TESTING. THE CUSTOMER RESULT WAS NOT DUPLICATED AS THE ISOLATE WAS NOT AVAILABLE FOR TESTING.