RB IODINE SOLUTION 29523

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 2017-12-13 for RB IODINE SOLUTION 29523 manufactured by Biomerieux Sa.

Event Text Entries

[95850213] Two customers from (b)(6) notified biom? Rieux of a performance problem with multiple previ? Color reagents when performing gram staining with the previ? Color gram instrument (ref. 414292). The two customers reported observing the same issue, obtaining red stains instead of blue, while working with the same reagent lots but with different models of previ? Color. The strains impacted were streptococcus equi atcc, streptococcus pyogenes in broth with an incubation of four hours, escherichia coli and staphylococcus aureus from broth with an incubation of 24 hours; clinical samples were from plates of blood agar and from bact/alert? Culture bottles. Previ? Color reagents involved: safranin: lot g16717 - ref. 29520 - ((b)(4)), iodine: lot g05515 - ref. 29523 - ((b)(4)), iodine: lot g05615 - ref. 29523 - ((b)(4)), iodine: lot g59407 - ref. 29523 - ((b)(4)), crystal violet: lot g52306 - ref. 29524 - ((b)(4)), crystal violet: lot g07216 - ref. 29524 - ((b)(4)). The two customers were (b)(6) (previ? Color v1, serial number (b)(4)) and (b)(6) (previ? Color v2). One customer changed the programming in the equipment; but the result was the same. (b)(6) tested the instrument with a different lot number of iodine and crystal violet, and the problem was corrected. The customers stated that there were no incorrect results reported, but it took more than 24 hours to cultivate the strains, complete retesting with vitek? And report the results. There is no indication or report from the hospitals or treating physicians to biom? Rieux that the discrepant result led to any adverse event related to any patient's state of health. The customer submitted pictures of the affected slides to biom? Rieux, and the slides were determined to be over-decolorized. A biom? Rieux internal investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002769706-2017-00405
MDR Report Key7113553
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2017-12-13
Date of Report2018-03-20
Date Mfgr Received2018-02-23
Device Manufacturer Date2017-04-12
Date Added to Maude2017-12-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactMRS. ELLEN WELTMER
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer G1BIOMERIEUX SA
Manufacturer Street5 RUE DES AQUEDUCS
Manufacturer CityCRAPONNE, 69290
Manufacturer CountryFR
Manufacturer Postal Code69290
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRB IODINE SOLUTION
Generic NameIODINE-B
Product CodeKPA
Date Received2017-12-13
Catalog Number29523
Lot NumberG05515
Device Expiration Date2018-10-12
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOMERIEUX SA
Manufacturer Address5 RUE DES AQUEDUCS CRAPONNE, 69290 FR 69290


Patients

Patient NumberTreatmentOutcomeDate
10 2017-12-13

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