inforMED
MalfunctionJIL

COMBUR 10 UX 100

Received Jul 11, 2019 · Event occurred Jun 13, 2019

Report 1823260-2019-02513 · MDR key 8779987

Device

Generic name

Urine Test Strips

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

11544373049

Lot number

ASKU

Product problems

  • Non Reproducible Results
  • Non Reproducible Results

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE INITIAL REPORTER STATED THAT THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED FOR NITRITES USING COMBUR 10 UX TEST STRIPS ON URISYS 1100 ANALYZER SERIAL NUMBER (B)(4). THE SAMPLE INITIALLY RESULTED WITH A POSITIVE NITRITE RESULT. THE SAMPLE WAS REPEATED THREE TIMES, EACH TIME RESULTING WITH A NEGATIVE NITRITE RESULT. NO ADVERSE EVENTS WERE ALLEGED TO HAVE OCCURRED WITH THE PATIENT.

Additional Manufacturer Narrative

THE CUSTOMER¿S METER AND STRIPS WERE REQUESTED FOR INVESTIGATION, BUT THE CUSTOMER COULD NOT PROVIDE THEM. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.