inforMED
MalfunctionJIL

COMBUR-10-TEST 100 STR.

Received Jun 18, 2019 · Event occurred Apr 2, 2019

Report 1823260-2019-02229 · MDR key 8707315

Device

Generic name

Urine Test Strips

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

04510062171

Lot number

30953102

Product problems

  • Low Test Results
  • Low Test Results

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

RETENTION TEST STRIPS WERE TESTED USING NATIVE URINE SPIKED WITH AN ERYTHROCYTE DILUTION SERIES. THE RESULTS OF ALL TEST STRIP MEASUREMENTS FULFILLED REQUIREMENTS AND NO FALSE NEGATIVE RESULTS WERE OBSERVED. THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE INITIAL REPORTER STATED THAT THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT URINE SAMPLE TESTED WITH COMBUR 10 TEST STRIPS. IT WAS ASKED, BUT IT IS NOT KNOWN IF AN INCORRECT RESULT WAS REPORTED OUTSIDE OF THE LABORATORY. THE SPECIFIC DATE OF THE EVENT IS NOT KNOWN. THE REPORTER INITIALLY REPORTED THE COMPLAINT TO THE (B)(6) REGULATORY AUTHORITIES ON (B)(6) 2019. UPON VISUALLY READING THE ERYTHROCYTE/HEMOGLOBIN TEST ON THE TEST STRIP, THE TEST DOES NOT INDICATE SIGNS OF HEMOGLOBIN OR MYOGLOBIN IN THE URINE. MICROSCOPIC EXAMINATION OF THE SAME SAMPLE INDICATES THE PRESENCE OF ERYTHROCYTES AT CONCENTRATIONS OF 50 ERYTHROCYTES/UL. NO ADVERSE EVENTS WERE ALLEGED TO HAVE OCCURRED WITH THE PATIENT. THE REPORTER'S PRODUCT WAS REQUESTED FOR INVESTIGATION.