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 2018-10-15 for CHROMID? VRE ID AGAR 43004 manufactured by Biomerieux S.a..
[126090750]
On (b)(6) 2018, a customer in (b)(6) reported a no growth result obtained on (b)(6) 2018, for a vancomycin resistant enterococcus faecium eeq quality control survey strain, in association with chromid? Vre id agar (lot. # 1006476480, expiry 30jul2018). The customer stated that no growth was observed after 24 and 48 hours of incubation at 37? C. The agar was stored at 2-8? C protected from the light. No quality control was performed. There was no patient involvement as the event pertained to a quality control sample. A biom? Rieux internal investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3002769706-2018-00215 |
| MDR Report Key | 7965728 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL,U |
| Date Received | 2018-10-15 |
| Date of Report | 2019-02-27 |
| Date of Event | 2018-07-04 |
| Date Mfgr Received | 2019-01-29 |
| Device Manufacturer Date | 2018-05-03 |
| Date Added to Maude | 2018-10-15 |
| 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 S.A. |
| Manufacturer Street | 5 RUE DES AQUEDUCS |
| Manufacturer City | CRAPONNE, 69290 |
| Manufacturer Country | FR |
| Manufacturer Postal Code | 69290 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CHROMID? VRE ID AGAR |
| Generic Name | CHROMID? VRE ID AGAR |
| Product Code | JSO |
| Date Received | 2018-10-15 |
| Catalog Number | 43004 |
| Lot Number | 1006476480 |
| Device Expiration Date | 2018-07-30 |
| 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 S.A. |
| Manufacturer Address | 5 RUE DES AQUEDUCS CRAPONNE, 69290 FR 69290 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-10-15 |