inforMED
MalfunctionJSS

API ® 20 NE

Received Feb 15, 2018

Report 3002769706-2018-00016 · MDR key 7274425

Device

Generic name

Api ® 20 Ne

Manufacturer

Biomerieux, Sa

Catalog number

20050

Lot number

1005788170

Product problems

  • Incorrect Or Inadequate Test Results
  • Incorrect Or Inadequate Test Results

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

A CUSTOMER IN (B)(6) REPORTED TO BIOMÉRIEUX MISIDENTIFICATION ASSOCIATED WITH API® 20 NE. THE CUSTOMER REPORTED THE EXPECTED IDENTIFICATION TO BE BURKHOLDERIA CEPACIA BUT THE ACTUAL RESULT WAS PSEUDOMONAS AERUGINOSA. SAMPLES WERE SENT TO ANOTHER SITE FOR REPEAT TESTING USING MALDI AND THE RESULT WAS P.AERUGINOSA. THE INCORRECT RESULT WAS REPORTED TO THE PHYSICIAN. AN INTERNAL BIOMÉRIEUX INVESTIGATION WILL BE INITIATED.

Additional Manufacturer Narrative

A CUSTOMER IN CANADA REPORTED A MISIDENTIFICATION OF BURKHOLDERIA CEPACIA AS PSEUDOMONAS AERUGINOSA IN ASSOCIATION WITH API® 20 NE LOT 1005788170. AN INVESTIGATION WAS PERFORMED. REGARDING THE KNOWLEDGE BASE API 20 NE V8.0 (TECHNICAL BROCHURE REV 161150-745-FR -A -2016-03-161150 -745, CURRENT VERSION), THERE ARE SIX (6) TESTS BETWEEN B. CEPACIA AND P. AERUGINOSA STRAINS : NO3, ADH, PNPG, ARAA, MNEA AND PACA. THE CUSTOMER'S STRAIN WAS NOT AVAILABLE FOR TESTING. A RETENTION KIT FROM THE CUSTOMER LOT 1005788170 AND REFERENCE LOT 1005830760, WERE TESTED USING THE FOUR (4) STRAINS MENTIONED IN THE CURRENT PACKAGE INSERT (REV 07615K-XL-2009/11) - AEROMONAS HYDROPHILA ATCC 35654 - ALCALIGENES FAECALIS ATCC 35655 - SPHINGOBACTERIUM MULTIVORUM ATCC 35656 - PSEUDOMONAS AERUGINOSA ATCC 27853 COMPLIANT RESULTS WERE OBTAINED WITH ALL FOUR (4) STRAINS TESTED WITH THE RETENTION LOT 1005788170. COMPLIANT RESULTS WERE OBTAINED WITH ALL FOUR (4) STRAINS TESTED WITH THE REFERENCE LOT 1005830760. THE STRAINS MENTIONED IN THE INSTRUCTION FOR USE WERE TESTED INTERNALLY AND PRODUCED NO DISCREPANT RESULTS FOR LOT 1005788170. THE API 20 NE TEST STRIPS PERFORMED AS EXPECTED.