MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2006-10-04 for DRIED POS MIC PANEL TYPE 23 B1017-207 manufactured by Dade Behring Inc..
[614322]
Single account reported to dade behring that they observed a clinical discrepancy. The account obtained oxacillin - susceptible results on the dried pos mic 23 panel and oxacillin-resistant results on secondary methods that were also performed for the clinical isolate. Additionally, account reported that oxacillin resistance was confirmed by a reference lab. Account correctly reported isolate as resistant to the physician based on the result of alternate methods. No report of injuries associated with the susceptible result being obtained.
Patient Sequence No: 1, Text Type: D, B5
[7955374]
Eval method; other - contacted customer to obtain clinical isolate for eval. Routine monitoring of complaint history and performance trends to ensure performance is within claims. Eval: results other - clinical isolate has not yet been received from the customer. Eval: conclusions; other - clinical isolate testing is pending. Overall oxacillin performance of dried pos panels is acceptable.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2919016-2006-00034 |
| MDR Report Key | 856325 |
| Report Source | 05 |
| Date Received | 2006-10-04 |
| Date of Report | 2006-09-05 |
| Date of Event | 2006-09-05 |
| Date Mfgr Received | 2006-09-05 |
| Device Manufacturer Date | 2006-04-01 |
| Date Added to Maude | 2007-05-30 |
| 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 | 0 |
| Manufacturer Contact | JOSE UNTALAN |
| Manufacturer Street | 2040 ENTERPRISE BLVD. |
| Manufacturer City | WEST SACRAMENTO CA 95691 |
| Manufacturer Country | US |
| Manufacturer Postal | 95691 |
| Manufacturer Phone | 9163743285 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | DRIED POS MIC PANEL TYPE 23 |
| Generic Name | ANTIMICROBIC SUSCEPT. TEST PANELS: GRAM POS. |
| Product Code | LTT |
| Date Received | 2006-10-04 |
| Model Number | NA |
| Catalog Number | B1017-207 |
| Lot Number | 2007-04-25 |
| ID Number | NA |
| Device Expiration Date | 2007-04-25 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | NA |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 841104 |
| Manufacturer | DADE BEHRING INC. |
| Manufacturer Address | 2040 ENTERPRISE BLVD. WEST SACRAMENTO CA 95691 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-10-04 |