MAUDE Adverse Event Report: BIOMERIEUX, INC VITEK® 2 GRAM-POSITIVE IDENTIFICATION TEST KIT; VITEK® 2 GP ID CARD

Catalog Number 21342

Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Type  malfunction  

Manufacturer Narrative

Device not returned to manufacturer.

Event Description

A customer in the united states contacted biomerieux to report a misidentification of cap survey organism pediococcus acidilactici as pediococcus pentosaceus in association with the vitek 2 gram-positive (gp) identification (id) test kit.There is no indication or report from the laboratory or physician that the discrepant result led to any adverse event related to any patient's state of health.There was no patient directly associated with the cap survey sample.Culture submittal was requested by biomerieux for internal investigation.Biomerieux investigation will be initiated.

Manufacturer Narrative

This report was initially submitted following notification that a customer in the united states reported the occurrence of a misidentification of cap sample pediococcus acidilactici as pediococcus pentosaceus in association with the vitek 2 gp id test kit.The customer submitted cap sample (b)(6) for vitek 2 evaluation.Biomérieux investigation was conducted.In addition to the customer's cap strain, the internal lyophilized cap sample was reconstituted and tested.For the customer cap strain.- vitek 2 gp id (customer lot): low discrimination calls of pediococcus acidilactici / pediococcus pentosaceus.- vitek 2 gp id (random lot): low discrimination calls of pediococcus acidilactici / pediococcus pentosaceus.For the internal cap strain.Testing of the internal strain resulted in excellent identification of pediococcus acidilactici on four cards from random lots.The two cards from the customer's lot and two additional cards from random lots resulted in low discrimination calls of pediococcus acidilactici/pediococcus pentosaceus.These species are closely related and review of the expected data for pediococcus acidilactici demonstrated no atypical reactions.The investigation concluded the vitek 2 gp id test kits are performing as expected.

• Brand Name: VITEK® 2 GRAM-POSITIVE IDENTIFICATION TEST KIT
• Type of Device: VITEK® 2 GP ID CARD
• Manufacturer (Section D): BIOMERIEUX, INC; 595 anglum road; st. louis MO 63042
• Manufacturer (Section G): BIOMERIEUX, INC; 595 anglum road; st. louis MO 63042
• Manufacturer Contact: ellen weltmer ; 595 anglum road; hazelwood, MO 63042 ; 3147317301
• MDR Report Key: 5917841
• MDR Text Key: 53671213
• Report Number: 1950204-2016-00114
• Device Sequence Number: 1
• Product Code: LQL
• Combination Product (y/n): N
• Reporter Country Code: UK
• PMA/PMN Number: K952095
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: health professional,user faci
• Reporter Occupation: Health Professional
• Type of Report: Initial,Followup
• Report Date: 08/09/2016

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 08/31/2016
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 10/18/2017
• Device Catalogue Number: 21342
• Device Lot Number: 242396140
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 08/09/2016
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 04/18/2016
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1