inforMED
OtherCGA

PTS PANELS GLUCOSE TEST STRIPS

Received Apr 16, 2009 · Event occurred Jan 14, 2009

Report 1836135-2009-00001 · MDR key 1365042

Device

Generic name

Glucose Test System

Catalog number

1713

Lot number

U851

Product problems

  • Device Markings/Labelling Problem

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

A CUSTOMER REPORTED HAVING IN THEIR POSSESSION A VIAL OF PTS PANELS/CARDIOCHEK GLUCOSE STRIPS WHICH HAD A PRIMARY (IMMEDIATE) VIAL LABEL OF LOT (B)(4), EXPIRATION DATE 2010-01-14 AND AN OUTER BOX LABEL OF P821, EXPIRATION DATE 2009-08-20. THE LOT NUMBER ON THE PRIMARY VIAL BEARING THE U (B)(4) IS THE CORRECT CITATION FOR A CARDIOCHEK GLUCOSE MATERIAL. THE MEMO CHIP CONTAINED WITHIN THE BOX, WHICH PROVIDES THE SPECIFIC ANALYTE CONVERSION CURVE (FROM THE INSTRUMENT REFLECTANCE READING) WHICH THE CARDIOCHEK USES TO DISPLAY THE RESULT OF A TEST WAS THE CORRECT (B)(4) MEMO CHIP. AN INTERNAL INVESTIGATION DEMONSTRATED A LIKELY VERY LOW INCIDENCE OF THIS MISLABELED PRODUCT. THE PRIMARY LABEL IS CORRECT AND THE MEMO CHIP WHICH DICTATES GLUCOSE RESULTS DISPLAY WAS CORRECT. THUS THERE IS NO ADVERSE USER CONSEQUENCE RESULTING FROM THE MISLABELING AND THERE IS NO MEDICAL OR HEALTH RISK. FURTHERMORE, THE PRODUCT IMPACT IS THAT AFTER (B)(6) 2009, THE OUTSIDE LABEL WOULD LEAD THE USER TO THINK THE PRODUCT WAS OUT OF DATE WHEN INDEED IT REMAINED WITHIN EXPIRATION DATE. THIS MEDWATCH IS BEING REPORTED TO ALERT POTENTIAL USERS OF THIS MISLABELING WHICH HAS NO PERFORMANCE IMPACT OR ADVERSE HEALTH EFFECT.