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 2017-03-07 for VITEK? 2 GN TEST KIT 21341 manufactured by Biomerieux, Inc.

Event Text Entries

[69330703] A customer from the united states reported to biom? Rieux a misidentification of an escherichia coli urine sample as shigella sonnei in association with the vitek? 2 gn test kit. The customer reported the isolate was tested four (4) times with vitek? 2 gn and received an identification of shigella sonnei. The isolate was sent to a state laboratory for serology testing (maldi-tof) and the isolate was determined to be escherichia coli. 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 test reports were requested from the customer. An internal biom? Rieux investigation has been initiated.
Patient Sequence No: 1, Text Type: D, B5


[73933136] A customer from the united states reported to biom? Rieux a misidentification of an escherichia coli urine sample as shigella sonnei in association with the vitek? 2 gn test kit. An internal biom? Rieux investigation was performed. Testing included both a customer lot and a random lot of vitek? 2 gn cards. Api? 20 e was also performed. All cards tested gave an excellent id (99%) of s. Sonnei. Api? 20 e, however, gave a good identification (92. 3%) of e. Coli. A comparison of expected reaction results for e. Coli resulted in three (3) atypical negative reactions (dsor, phos, ldc), which led to the misidentification. It should be noted that, when an identification of shigella is made by vitek? 2 gn cards, an analysis message of "confirm by serological tests" is given. A complaint history review was completed for this issue during the last 13 month timeframe with no implication of a trend. Root cause: atypical strain.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1950204-2017-00081
MDR Report Key6385695
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-03-07
Date of Report2017-04-18
Date Mfgr Received2017-03-23
Device Manufacturer Date2016-07-25
Date Added to Maude2017-03-07
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 CARD
Product CodeJTO
Date Received2017-03-07
Catalog Number21341
Lot Number241387640
Device Expiration Date2017-07-25
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 2017-03-07

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