Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2146-2016Class II

QuickSlide MGS-80, Automated Mutli-Slide Gram Stainer/GramPRO-80. Systematically stains, rinses, decolorizes...

Hardy Diagnostics / initiated 2016-05-24 / Terminated

Hardy Diagnostics began a recall of QuickSlide MGS-80, Automated Mutli-Slide Gram Stainer/GramPRO-80. Systematically stains, rinses, decolorizes, and counter-stains the provided biological sample... on . FDA classified it as Class II and gives the reason as "Discrepant culture and gram stain results, which could potentially lead to misdiagnosis or improper treatment of a patient". As of , the recall status on record is Terminated.

Recall record

Recall number
Z-2146-2016
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Hardy Diagnostics
Product
QuickSlide MGS-80, Automated Mutli-Slide Gram Stainer/GramPRO-80. Systematically stains, rinses, decolorizes, and counter-stains the provided biological sample and slide.
Product code
KPA Slide Stainer, Automated
Reason for recall
Discrepant culture and gram stain results, which could potentially lead to misdiagnosis or improper treatment of a patient.
FDA root cause
Under Investigation by firm
Action
The firm began notifying consignees via phone on 05/23/16. The firm also sent out Urgent Notification letters, dated June 15, 2016. The firm's phone script instructs customers to decrease the number of rinses on the slide and increasing the number of rinses in the chamber for better outcomes and performance with the instrument. Reducing the rinses on the slide may prevent bacteria from coming off the slide, and adding rinses to the empty chamber will help ensure that the chamber is clean before the next slide is introduced. The firm's customer notification letter recommended an immediate update to the automated rinse cycle to decrease the number of slide rinses and increase the number of empty chamber rinses to improve instrument performance. A step-by-step procedure for updating the rinse cycle settings was discussed via phone and should now be implemented. In addition to the changes, the firm is updating the GramPro 80 User Manual to reflect new recommendations, and it is strongly recommended that all users perform methanol fixation of slides for automated staining and discontinue the use of heat fixation to prevent cross contamination of the unit. Once updates to the User Manual have been completed, the firm will provide an updated revision for customer records. For further information or technical assistance, contact QuickSlide Technical Team at [email protected].
Quantity in commerce
25
Distribution
U.S. Distribution to the following states: CA, TX, NE, OK, LA, NC, PA, AZ, NY, PA, VA, NM, MI, and WV.
Product codes and lots
All units manufactured between October 2014 and May 2016.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2146-2016
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2146-2016Class IITerminatedVoluntary: Firm initiated