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MalfunctionPZI

STATSTRIP GLUCOSE HOSPITAL METER SYSTEM

Received Feb 3, 2021 · Event occurred Dec 20, 2020

Report 0001219029-2021-00001 · MDR key 11273300

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Product code (PZI)
Model (54790)

Device

Generic name

Blood Glucose Meter

Model number

54790

Product problems

  • Patient Data Problem

Patient

Not reported

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

THE CUSTOMER RETURNED THE STATSTRIP WIRELESS METER SERIAL NUMBER (B)(4). THE METER ALONG WITH THE PATIENT'S WRISTBAND WERE RETURNED TO NOVA ON (B)(6) 2021. AN INVESTIGATION IS CURRENTLY UNDERWAY BASED ON THE INFORMATION AND MATERIAL PROVIDED AND A DEVICE HISTORY RECORD (DHR) REVIEW HAS BEEN REQUESTED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION.

Description of Event or Problem

CUSTOMER REPORTED TO NOVA BIOMEDICAL ON (B)(6) 2021 THAT A BAR CODE SCAN MIS-READ OCCURRED ON A STATSTRIP WIRELESS METER SERIAL NUMBER (B)(4) WHILE SCANNING A PATIENT WRISTBAND'S INFORMATION. ON (B)(6) 2020 THE REPORTED MIS-READ WAS DISCOVERED WHEN THE CUSTOMER TRIED TO FIND A GLUCOSE RESULT IN THEIR HIS/LIS NETWORK BUT COULD NOT FIND IT. THEY REVIEWED THE METER AND FOUND THAT THE BAR CODE IN MEMORY DID NOT MATCH THE BAR CODE THAT WAS SCANNED. NO PATIENT IMPACT OR ADVERSE EVENT REPORTED.