inforMED
MalfunctionGKB

VACU-TEC TUBES IN THE VES-MATIC ESR TESTING SYSTEM

Received Jun 12, 2001 · Event occurred Jan 16, 2001

Report MW1022192 · MDR key 338408

Device

Generic name

Esr Testing System

Model number

*

Catalog number

*

Lot number

*

Product problems

  • Contamination

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IN 1/01, MEDICAL CENTER STARTED UTILIZINGB A NEW PRODUCT, VACU-TEC TUBE IN THE VES-MATIC ESR TESTING SYSTEM FOR DETERMINING THE SEDIMENTATION RATES IN PT POPULATION. A BLOOD CULTURE DRAWN FROM ONE OF PTS YIELDED OCHROBACTRUM ANTHROPI. IT WAS DETERMINED FROM THE PT'S CLINICAL CONDITION AND WORK-UP THAT THIS ORGANISM WAS MOST LIKELY A CONTAMINANT AND THE PT SUBSEQUENTLY WAS NOT TREATED WITH ANTIMICROBIALS. SINCE THIS FIRST CASE AN ADD'L 12 POSITIVES BLOOD CULTURES HAVE GROWN O. ANTHROPI WITH NO CLINICAL DISEASE IN THE 12 PTS. TWO PTS ALSO GREW S. MALTOPHILIA FROM THE SAME BLOOD CULTURE THAT GREW O. ANTHROPI. CLINICAL REVIEW OF PT MEDICAL RECORDS IS ONGOING. FURTHER INFO WILL FOLLOW WHEN COMPLETED.