inforMED
MalfunctionJIL

CHEMSTRIP ® 10 UA

Received Nov 30, 2021 · Event occurred Nov 4, 2021

Report 1823260-2021-03533 · MDR key 12897543

Device

Generic name

Method, Enzymatic, Glucose (urinary, Non-quantitative)

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

11895354160

Lot number

51475511

Product problems

  • False Negative Result
  • False Negative Result

Patient

84 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

NO PRODUCT WAS RETURNED FOR INVESTIGATION. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE TEST STRIPS WERE REQUESTED FOR INVESTIGATION. THE RETENTION MATERIAL OF LOT 51475500 WAS VISUALLY CHECKED AND QC DOCUMENTATION WAS CHECKED. THE RETENTION MATERIAL SHOWED NO ABNORMALITIES AND FULFILL THE REQUIREMENTS. QC DOCUMENTATION SHOWED NO ABNORMALITIES.

Description of Event or Problem

THE INITIAL REPORTER RECEIVED A QUESTIONABLE LEUKOCYTES RESULT FOR ONE PATIENT URINE SAMPLE WITH A URISYS 1100 URINE ANALYZER SERIAL NUMBER (B)(4). THE LEUKOCYTE RESULT FROM THE METER WAS NEGATIVE. THE PATIENT SAMPLE WAS SENT FOR A LABORATORY CULTURE THAT REPORTED >100,000 E. COLI. NO URINALYSIS DIPSTICK TEST WAS PERFORMED AT THE LABORATORY. THE QUESTIONABLE RESULT WAS REPORTED OUTSIDE OF THE LABORATORY.