MAUDE Adverse Event Report: BIOMERIEUX, INC. VITEK 2 AST-GP67 TEST KIT; AST-GP67 TEST KIT 20 CARDS - 22226

Catalog Number	22226
Medical Device Problem Code	Incorrect, Inadequate or Imprecise Result or Readings (1535)
Health Effect - Clinical Code	No Known Impact Or Consequence To Patient (2692)
Type of Reportable Event	Malfunction
Event or Problem Description
A customer in (b)(6) notified biomérieux of false positive cefoxitin screen results for a patient staphylococcus aureus isolate in association with the vitek® 2 ast-gp67 test kit (ref 22226, lot 1321144103).Repeat analysis with the vitek® 2 ast-gp67 test kit obtained negative results.Initial vitek® 2: cefoxitin screen = positive (resistant).Repeat vitek® 2: cefoxitin screen = negative (susceptible).The customer stated that there was a delay of >24 hours in reporting the result, but there is no indication or report from the laboratory that the initial false positive result led to any adverse event related to the patient's state of health.A biomérieux internal investigation will be initiated.
Additional Manufacturer Narrative
An investigation was initiated in response to a customer complaint of false positive cefoxitin screen results for a patient staphylococcus aureus isolate in association with the vitek® 2 ast-gp67 test kit (ref 22226, lot 1321144103).The customer's isolate was submitted for investigation and the identification was confirmed to be staphylococcus aureus.Investigational testing included testing the isolate with vitek® 2 ast-gp67 test kit cards from the customer's lot (1321144103) and a random lot (1321211203) in duplicate, as well as agar dilution (ad) and cefoxitin disk diffusion as the reference methods for ox101n and oxsf01n formulations found on this card.Alere pbp2 was also performed.The oxsf all tested negative for all cards while the cefoxitin disc diffusion was susceptible at 24 mm.Pbp2 was also negative.The ox agar dilution mic = 0.25 mg/l.Ast-gp67 lot 1321144103 met final qc release criteria.The lot passed qc performance testing.The customer's false positive cefoxitin screen results were not reproduced internally.The cards are performing as expected.See h10 for addtl mfg narrative.

• Brand Name: VITEK 2 AST-GP67 TEST KIT
• Common Device Name: AST-GP67 TEST KIT 20 CARDS - 22226
• Manufacturer (Section D): BIOMERIEUX, INC.; 595 anglum road; hazelwood MO 63042
• MDR Report Key: 9638711
• Report Number: 1950204-2020-00012
• Device Sequence Number: 16238079
• Product Code: LON
• UDI-Device Identifier: 03573026242060
• UDI-Public: 03573026242060
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• PMA/510(K) Number: K053097
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: foreign,health professional,u
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 04/01/2020

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
• Operator of Device: Health Professional
• Device Expiration Date: 01/13/2021
• Device Catalogue Number: 22226
• Device Lot Number: 1321144103
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 12/30/2019
• Supplement Date Received by Manufacturer: 03/24/2020
• Initial Report FDA Received Date: 01/28/2020
• Supplement Report FDA Received Date: 04/01/2020
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1