VITEK? 2 GN TEST KIT 21341

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 2017-02-23 for VITEK? 2 GN TEST KIT 21341 manufactured by Biomerieux, Inc.

Event Text Entries

[68367209] A customer from the (b)(6) reported to biom? Rieux a misidentification of citrobacter amalonaticus as serratia odorifera, for a blood culture from a dialysis patient, in association with vitek 2 gn test kit. The technicians determined the isolate was not serratia odorifera based on culture smell, which prompted testing of the isolate with an alternative method (microscan). The result was citrobacter amalonaticus. There is no indication or report from the hospital or treating physician to biom? Rieux that the discrepant result led to any adverse event related to the patient's state of health. The customer sent the test reports to biom? Rieux and sent the isolate to an external lab for testing. A field service engineer was scheduled to visit the customer site. A biomerieux internal investigation has been initiated.
Patient Sequence No: 1, Text Type: D, B5


[75223410] A customer from the united states reported to biom? Rieux a misidentification of citrobacter amalonaticus as serratia odorifera in association with vitek? 2 gn test kit. An internal biom? Rieux investigation was performed. The organism was subbed and testing included both the customer lot and a random lot of vitek? 2 gn cards. Api? 20 e was performed, as was vitek? Ms and 16s sequencing. On both cards tested, an excellent id (99%) of s. Odorifera was obtained. Api? 20 e gave a good identification to the genus of pantoea. Vitek? Ms gave an identification of leclercia adecarboxylata (99. 9% confidence value). However, when 16s sequencing was performed, a 99% identity match to both enterobacter amnigenus and leclercia sp. Was obtained. A comparison of card reaction results for s. Odorifera against the expected reaction results for e. Amnigenus resulted in one (1) atypical positive reaction (ellm). A comparison of card reaction results for s. Odorifera against the expected reaction results for l. Adecarboxylata resulted in two (2) atypical positive reactions (dsor, cit). Conclusion: atypical strain.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1950204-2017-00067
MDR Report Key6354825
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-02-23
Date of Report2017-05-01
Date Mfgr Received2017-04-06
Device Manufacturer Date2017-08-27
Date Added to Maude2017-02-23
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 CityST. LOUIS 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 GN TEST KIT
Generic NameVITEK? 2 GN TEST KIT
Product CodeJTO
Date Received2017-02-23
Catalog Number21341
Lot Number241390940
Device Expiration Date2017-08-27
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
10 2017-02-23

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