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 2018-08-31 for VITEK? 2 GP TEST KIT 21342 manufactured by Biomerieux, Inc..
[120130188]
A customer in the united states reported misidentifications of streptococcus species for four (4) patient isolates in association with the vitek? 2 gp test kit (lot 2420749203). The customer reported that all four isolates were from small bowel brushings and the cultures were pure alpha hemolytic isolates. Isolate 1819805109: vitek 2 gp: streptococcus pseudoporcinus (95%); repeat: unidentified organism reference lab (b)(4) (b)(4): streptococcus mitis/oralis isolate 1820406366: vitek 2 gp: low discrimination streptococcus mitis/oralis; repeat 1: low discrimination streptococcus pseudoporcinus; repeat 2: low discrimination granulicatella adiacens reference lab (b)(4): streptococcus mitis/oralis isolate 1819208351: vitek 2 gp: streptococcus thoraltensis; repeat: streptococcus mitis/oralis. Isolate 1818304053: vitek 2 gp: streptococcus pseudoporcinus; repeat: streptococcus mitis/oralis. No patient information was provided by the customer. 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. A biom? Rieux internal investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1950204-2018-00319 |
| MDR Report Key | 7837128 |
| Report Source | HEALTH PROFESSIONAL,USER FACI |
| Date Received | 2018-08-31 |
| Date of Report | 2018-11-12 |
| Date Mfgr Received | 2018-10-18 |
| Device Manufacturer Date | 2018-06-15 |
| Date Added to Maude | 2018-08-31 |
| 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. DEBRA BROYLES |
| Manufacturer Street | 595 ANGLUM ROAD |
| Manufacturer City | HAZELWOOD MO 63042 |
| Manufacturer Country | US |
| Manufacturer Postal | 63042 |
| Manufacturer G1 | BIOMERIEUX, INC. |
| Manufacturer Street | 595 ANGLUM ROAD |
| Manufacturer City | HAZELWOOD 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 | 2018-08-31 |
| Catalog Number | 21342 |
| Lot Number | 2420749203 |
| Device Expiration Date | 2019-12-15 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| 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 HAZELWOOD MO 63042 US 63042 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-08-31 |