VITEK? 2 GP ID TEST KIT 21342

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 2018-10-29 for VITEK? 2 GP ID TEST KIT 21342 manufactured by Biomerieux, Inc..

Event Text Entries

[126662649] A customer in (b)(6) reported a misidentification of staphylococcus lugdunensis as leuconostoc mesenteroides for two patient isolates with the vitek? 2 gp id test kit. On (b)(6) 2018, the gp card identified leuconostoc mesenteroides and the isolates were confirmed as staphylococcus lugdunensis by maldi-tof. The customer reported that the vitek result was not reported to a physician and patient care was not impacted. The local field application specialist (fas) went to the site and retested the isolates and the identification was staphylococcus lentus (99%). The fas then tested a fresh isolate at a different customer site and the identification was staphylococcus lugdonensis (99%). The customer performed repeat testing on the two isolates on their three vitek instruments. Isolate (b)(4)was identified as staphylococcus lentus on all three instruments. Isolate (b)(4) had one identification as staphylococcus lentus and two as staphylococcus lugdonensis. A biom? Rieux internal investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1950204-2018-00449
MDR Report Key8017117
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-10-29
Date of Report2019-01-15
Date of Event2018-09-30
Date Mfgr Received2018-12-18
Date Added to Maude2018-10-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. DEBRA BROYLES
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer G1BIOMERIEUX, INC.
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal Code63042
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVITEK? 2 GP ID TEST KIT
Generic NameVITEK? 2 GP ID TEST KIT
Product CodeLQL
Date Received2018-10-29
Catalog Number21342
Lot Number2420735203
Device Expiration Date2019-12-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOMERIEUX, INC.
Manufacturer Address595 ANGLUM ROAD HAZELWOOD MO 63042 US 63042


Patients

Patient NumberTreatmentOutcomeDate
10 2018-10-29

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