inforMED
MalfunctionJIL

COMBUR 5-TEST HC 10 STR.

Received Jun 26, 2019 · Event occurred Jun 6, 2019

Report 1823260-2019-02327 · MDR key 8735842

Device

Generic name

Urine Test Strips

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

11896954176

Lot number

38308901

Product problems

  • Missing Information
  • Missing Information

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

MEDWATCH FIELD B1 WAS UPDATED.

Additional Manufacturer Narrative

THE CUSTOMER'S MATERIALS WERE RETURNED. ONE VIAL OF STRIP LOT 38308901 "COMBUR 5-TEST HC 10 STR.", CONTAINING 10 OF 10 TEST STRIPS WAS RETURNED. INVESTIGATION: THE CUSTOMER MATERIAL OF LOT 38308901 AND THE RETENTION MATERIAL OF LOT 38308901 WERE BOTH VISUALLY CHECKED. RESULTS: THE RETENTION MATERIAL SHOWED NO MISSING LABELS ON THE CARDBOARD-BOX AND NO MISSING LABEL ON THE TEST STRIP VIAL. THE LABEL ON THE TEST STRIP VIAL OF THE CUSTOMER MATERIAL IS MISSING. THE RETENTION MATERIAL VISUAL INSPECTION WAS ACCEPTABLE.

Description of Event or Problem

THE INITIAL REPORTER STATED THAT THE LABEL CONTAINING THE RESULT INTERPRETATION COLOR SCALE, LOT NUMBER, AND EXPIRATION DATE WAS MISSING FROM ONE VIAL OF COMBUR 5 TEST STRIPS. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT.

Additional Manufacturer Narrative

THE MANUFACTURING DOCUMENTS AND THE PACKAGING LOGBOOK SHOWED NO ABNORMALITIES. EVALUATION METHOD, RESULT, AND CONCLUSION CODES HAVE BEEN UPDATED.