inforMED
MalfunctionJIO

URISYS 2400

Received Apr 15, 2009 · Event occurred Mar 20, 2009

Report 1823260-2009-02731 · MDR key 1437735

Device

Generic name

Automated Urine Analyzer - Jil

Manufacturer

Roche Diagnostics

Model number

U2400

Catalog number

03051323001

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

UNK

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

USER EXPERIENCED TWO PT SAMPLES WHICH GENERATED RESULTS FOR ERYTHROCYTES FROM THE ANALYZER THAT DID NOT COMPARE WITH RESULTS FROM THE MICROSCOPIC EXAMINATION. THE FOLLOWING PT SAMPLE WAS DETERMINED TO BE DISCREPANT. INITIAL ERYTHROCYTE RESULT FROM ANALYZER WAS NEGATIVE. MICROSCOPIC EXAMINATION OF THE SAME URINE SAMPLE SHOWED 5 TO 10 RBCS PER HPF. SAMPLE WAS REPEATED ON THE ANALYZER GENERATING A NEGATIVE RESULT FOR ERYTHROCYTES. BOTH DIPSTICK AND MICROSCOPIC RESULTS WERE REPORTED FOR THIS PT SAMPLE. USER STATES THE PT WOULD NOT HAVE BEEN TREATED FOR THE NEGATIVE RESULT THAT WAS REPORTED ON THE DIPSTICK. THE USER DID NOT HAVE INFO AS TO WHETHER THE PT WAS ADVERSELY AFFECTED BY NOT RECEIVING TREATMENT.

Additional Manufacturer Narrative

ALTHOUGH THE FIELD SERVICE REPRESENTATIVE WAS UNABLE TO VERIFY THE PROBLEM, HE NOTED A PROBLEM WITH THE CALIBRATION AS A CAUSE. HE VERIFIED DEFAULT SETTINGS FOR REFLECTANCE, PERFORMED A CALIBRATION AND RAN CONTROLS TO VERIFY ANALYZER PERFORMANCE.