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 2018-07-11 for VITEK?2 GP TEST KIT 21342 manufactured by Biomerieux, Inc.
[114032999]
A customer in the united states notified biom? Rieux of discrepant results associated with vitek? 2 gp test kit (reference 21342). The customer reported having a patient with blood culture isolate that identified twice as pediococcus. The isolate was sent out to a reference laboratory and the identification for the isolate is streptococcus sanguinis. There is no indication or report from the laboratory or physician that the discrepant result led to any adverse event related to a patient's state of health. An internal biom? Rieux investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1950204-2018-00252 |
| MDR Report Key | 7679674 |
| Report Source | HEALTH PROFESSIONAL,USER FACI |
| Date Received | 2018-07-11 |
| Date of Report | 2018-09-04 |
| Date Mfgr Received | 2018-08-07 |
| Device Manufacturer Date | 2018-02-03 |
| Date Added to Maude | 2018-07-11 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. TIFFANY HALL |
| Manufacturer Street | 100 RODOLPHE STREET |
| Manufacturer City | DURHAM NC 27712 |
| Manufacturer Country | US |
| Manufacturer Postal | 27712 |
| Manufacturer G1 | BIOMERIEUX, INC |
| Manufacturer Street | 595 ANGLUM ROAD |
| Manufacturer City | SAINT LOUIS MO 63042 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 63042 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VITEK?2 GP TEST KIT |
| Generic Name | VITEK?2 GP TEST KIT |
| Product Code | LQL |
| Date Received | 2018-07-11 |
| Catalog Number | 21342 |
| Lot Number | 2420617403 |
| Device Expiration Date | 2019-08-05 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BIOMERIEUX, INC |
| Manufacturer Address | 595 ANGLUM ROAD SAINT LOUIS MO 63042 US 63042 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-07-11 |