bioMérieux, Inc. Issues Urgent Product Correction for VITEK® 2 Gram Negative Susceptibility Cards Containing Piperacillin/Tazobactam

Date of Recall
2010-10-27

Recall Details
- Oct. 27, 2010 - Durham, NC - bioMérieux, Inc. on September 16, 2010, initiated a worldwide voluntary product correction of VITEK® 2 Gram Negative Susceptibility Cards containing the antibiotic Piperacillin/Tazobactam (TZP2). These cards, manufactured after March 10, 2009, are used in clinical laboratories to perform antimicrobial susceptibility testing as part of the VITEK® 2 System. Clinical laboratories were notified to perform an alternative method of testing prior to reporting results for:
  • Piperacillin/Tazobactam (TZP2) and Escherichia coli results
  • Piperacillin/Tazobactam (TZP2) and Klebsiella pneumoniae with resistant results

bioMérieux also provided instructions to implement suppression rules to prevent inappropriate reporting of results. Customers can continue to use the VITEK® 2 cards following the guidelines above.

An internal investigation by bioMérieux confirmed user reports that VITEK® 2 antimicrobial susceptibility testing may incorrectly report E. coli and K. pneumoniae susceptible isolates as resistant to Piperacillin/Tazobactam (TZP2). This same investigation also found that E. coli isolates resistant to Piperacillin/Tazobactam (TZP2) may be incorrectly identified as susceptible.

Incorrect results could potentially lead to patients being inappropriately treated with Piperacillin/Tazobactam when infected with a resistant E. coli isolate. There have been no reports to date of treatment failures associated with either falsely-resistant or falsely-susceptible E. coli results for Piperacillin/Tazobactam (TZP2), or for falsely-resistant K. pneumoniae results.

Attached below is a list of VITEK® 2 cards that are affected by this product correction. Of these affected cards, all lot numbers currently in distribution, as well as future distribution are affected until further notice. In addition, all new VITEK® 2 cards created that contain TZP2 are affected by this product correction.

bioMérieux has notified the U.S. Food and Drug Administration (FDA) and is working closely with the agency regarding this urgent product correction. Laboratories with questions should contact bioMérieux, Inc. at 1-800-682-2666, option 3, 24 hours a day; physicians should contact their clinical diagnostics laboratory for additional information if necessary. Consumers with questions should contact their physician.

Adverse reactions or quality problems experienced with the use of the cards should be reported to bioMérieux by contacting Customer Service at 1-800-682-2666, option 3. Customers may also report adverse reactions or quality problems through FDA's MedWatch Adverse Event Reporting program either online at www.fda.gov/medwatch/report.htm; by regular mail using the postage-paid, pre-addressed Form FDA 3500 available at: www.fda.gov/medwatch/getforms.htm; or by fax at 1-800-FDA-0178.

VITEK® 2 TZP2 Affected Cards

Card Name Ref. # Card Name Ref. # Card Name Ref. # Card Name Ref. #
AST-N080 22214 AST-N117 22290 AST-N152 22347 AST-GN22 22227
AST-N081 22215 AST-N118 22291 AST-N153 22348 AST-GN23 22228
AST-N082 22217 AST-N120 22293 AST-N155 22352 AST-GN24 22229
AST-N084 22224 AST-N121 22295 AST-N156 22353 AST-GN25 22230
AST-N085 22225 AST-N122 22299 AST-N157 22354 AST-GN26 22244
AST-N086 22234 AST-N123 22301 AST-N158 22355 AST-GN27 22245
AST-N087 22235 AST-N124 22303 AST-N159 22356 AST-GN28 22254
AST-N088 22236 AST-N127 22308 AST-N160 22357 AST-GN29 22266
AST-N089 22237 AST-N128 22309 AST-N161 410026 AST-GN30 22267
AST-N090 22240 AST-N129 22310 AST-N162 410023 AST-GN31 22268
AST-N091 22241 AST-N130 22311 AST-N163 410084 AST-GN32 22269
AST-N093 22243 AST-N131 22315 AST-N164 410101 AST-GN33 22270
AST-N093 22246 AST-N132 22316 AST-N165 410102 AST-GN34 22271
AST-N094 22247 AST-N133 22318 AST-N166 410136 AST-GN35 22286
AST-N095 22249 AST-N134 22319 AST-N167 410138 AST-GN36 22300
AST-N096 22250 AST-N135 22322 AST-N168 410139 AST-GN37 22312
AST-N097 22251 AST-N136 22323 AST-N170 410222 AST-GN39 22337
AST-N098 22253 AST-N137 22324 AST-N171 410249 AST-GN40 410756
AST-N100 22256 AST-N138 22325 AST-N172 410298 AST-GN41 410757
AST-N103 22259 AST-N139 22327 AST-N174 410404 AST-GN42 410758
AST-N104 22261 AST-N140 22328 AST-N175 410403 AST-GN43 410759
AST-N105 22262 AST-N141 22329 AST-N176 410402 AST-GN44 410805
AST-N106 22264 AST-N142 22332 AST-N177 410392
AST-N107 22265 AST-N143 22333 AST-N178 410393
AST-N108 22272 AST-N144 22334 AST-N179 410640
AST-N109 22273 AST-N145 22338 AST-N180 410771
AST-N110 22274 AST-N146 22341 AST-N181 410803
AST-N111 22275 AST-N147 22342 AST-N182 410804
AST-N112 22281 AST-N148 22343
AST-N114 22283 AST-N149 22344
AST-N115 22285 AST-N150 22345
AST-N116 22289 AST-N151 22346

Recall Comments

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