inforMED
MalfunctionJIO

CHEMSTRIP® 10 UA

Received May 4, 2012 · Event occurred Apr 2, 2012

Report 1823260-2012-02408 · MDR key 2560219

Device

Generic name

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

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

11895354160

Lot number

20835301

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

069 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE USER RECEIVED QUESTIONABLE URINALYSIS RESULTS FOR ONE PATIENT SAMPLE FROM THE URISYS 1100 ANALYZER SERIAL NUMBER (B)(4). OF THE DATA PROVIDED, THE RESULT FOR LEUKOCYTES WAS DISCREPANT. THE INITIAL RESULT WAS "NEGATIVE" FOR LEUKOCYTES. THE RESULT FROM THE CRITERION II METER FOR LEUKOCYTES IS 100 WBC/UL. THE CALLER DID A MICROSCOPIC CONFIRMATORY TEST WHICH SHOWED 0-2 WBC/HPF FOR LEUKOCYTES. NO INFORMATION WAS PROVIDED TO DETERMINE IF THE ERRONEOUS RESULT WAS REPORTED OUTSIDE THE LABORATORY. THE CALLER DOES NOT HAVE ANY SPECIFIC PATIENT INFORMATION. NO ACTIONS WERE REPORTED TAKEN BASED ON EITHER TEST.

Additional Manufacturer Narrative

THE STRIPS WERE NOT RETURNED.

Additional Manufacturer Narrative

IT WAS UNKNOWN IF THE INITIAL REPORTER SENT REPORT TO THE FDA.