MAUDE Adverse Event Report: BIOMÉRIEUX, SA API STAPH 25STRIPS+25MEDIA; API® STAPH 25STRIPS+25MEDIA

Model Number 20500

Device Problem Inaccurate Information (4051)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Type  malfunction  

Event Description

A customer from (b)(6) reported he observed a discrepancy between the instructions for use (ifu) version m and n for the adh test of quality control strain s.Capitis for the product api® staph 25strips+25media (ref.20500).When performing quality assurance testing, the customer got a positive result for adh test using staphylococcus capitis atcc® 35661¿, and their result for adh test did not conform with the profile included in the package insert 07468 version n.The version ¿07468 m - en - 2017/03¿ has the expected adh test result in the profile for staphylococcus capitis listed as positive while the newest version ¿07468 - n - 2019/05 ¿ en¿ has the expected adh test result in the profile for staphylococcus capitis listed as negative.The adh test result in the profile for staphylococcus capitis was modified by mistake in the version n of the ifu.The customer reported they perform quality control with s.Capitis atcc® 35661¿ on every lot received and always observed a positive result for the adh test with s.Capitis strain.The customer also tests staphylococcus xylosus atcc® 700404¿ and staphylococcus lentus atcc® 700403¿ when receiving a new lot.The information for these strains were not changed in the ifu.There is no indication from the customer that this documentation error led to a delay of reporting results.A biomérieux internal investigation has been initiated.

Manufacturer Narrative

The investigation confirmed that there is an error in the instructions for use (ifu) version n.Investigator confirmed that the expected adh result for the strain staphylococcus capitis atcc® 35661¿ is positive.The root cause of the issue is a human transcription error during the update of version m to n of the ifu.This error is a documentation error, and no direct impact on the product performance.In the framework of the investigation, the version n of the ifu was entirely reviewed, and no other mistake was detected.As corrective action, the ifu was corrected, and the first batch being manufactured with the ifu version o is batch 1008701410.A communication was sent to all customers using api staph reference 20500 to inform them about the correction and update of the ifu to version o.

• Brand Name: API STAPH 25STRIPS+25MEDIA
• Type of Device: API® STAPH 25STRIPS+25MEDIA
• Manufacturer (Section D): BIOMÉRIEUX, SA; 3 route de port michaud; la balme 38390 ; FR 38390
• MDR Report Key: 11755693
• MDR Text Key: 281019523
• Report Number: 9615754-2021-00137
• Device Sequence Number: 1
• Product Code: JWX
• UDI-Device Identifier: 03573026048259
• UDI-Public: 03573026048259
• Combination Product (y/n): N
• PMA/PMN Number: C1 EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: foreign,health professional,u
• Type of Report: Initial,Followup
• Report Date: 06/14/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 20500
• Device Catalogue Number: 20500
• Was Device Available for Evaluation?: No
• Initial Date Manufacturer Received: 04/01/2021
• Initial Date FDA Received: 04/30/2021
• Supplement Dates Manufacturer Received: 06/03/2021
• Supplement Dates FDA Received: 06/14/2021
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1