inforMED
MalfunctionJIL

COMBUR-5-TEST 100 STR

Received Oct 8, 2019 · Event occurred Sep 18, 2019

Report 1823260-2019-03613 · MDR key 9165897

Device

Generic name

Urine Test Strips

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

11893467255

Lot number

39664402

Product problems

  • High Test Results
  • High Test Results

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

UPON INSPECTION OF PHOTOGRAPHS OF THE AFFECTED VIALS AND TEST STRIPS, A PINK LIQUID WAS OBSERVED ON THE OUTSIDE OF ONE OF THE TEST STRIP VIALS AND ON ONE OF THE TEST STRIPS. THE NITRITE TEST PADS OF THE STRIPS APPEARED SLIGHTLY PINK. THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR AN UNSPECIFIED NUMBER OF PATIENT SAMPLES TESTED WITH COMBUR 5 TEST STRIPS. THE ISSUE ONLY STARTED HAPPENING RECENTLY. THE AFFECTED PATIENT SAMPLES HAVE FALSE POSITIVE NITRITE RESULTS WHEN TESTED USING THE TEST STRIPS AND VISUALLY READING THE RESULTS FROM THE STRIP. NO SPECIFIC EXAMPLES OF AFFECTED PATIENT SAMPLES WERE PROVIDED. THE REPORTER STATES THE ISSUE OCCURRED WHEN USING TWO DIFFERENT VIALS OF TEST STRIPS. THE REPORTER STATED THERE WERE NO CRACKS IN THE TEST STRIP CONTAINERS/VIALS. THE NITRITE BLOCK ON THE TEST STRIP WAS SLIGHTLY PINK BEFORE TESTING.

Additional Manufacturer Narrative

RETENTION MATERIAL WAS CHECKED AND SHOWED NO ABNORMALITIES AND NO SIGNS OF DISCOLORATION. THE CUSTOMER DID NOT RETURN MATERIAL FOR INVESTIGATION, NO FURTHER INVESTIGATION IS POSSIBLE. PHOTOGRAPHS OF THE CUSTOMER'S TEST STRIPS SHOWED THE TEST STRIP WAS DISCOLORED BEFORE USE. THIS CAN CAUSE THE FALSE POSITIVE NIT RESULTS. IT IS CONSISTENT WITH THE STRIP VIAL NOT BEING CLOSED CORRECTLY OR OPENED FOR TOO LONG.