inforMED
MalfunctionPZI

STATSTRIP GLUCOSE HOSPITAL METER SYSTEM

Received Nov 13, 2019 · Event occurred Oct 3, 2019

Report 1219029-2019-00062 · MDR key 9315005

Device

Generic name

Glucose Test System

Model number

42214

Lot number

0318309249

Product problems

  • Low Test Results
  • Low Test Results

Patient

Not reported

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

Narrative

Description of Event or Problem

A USER FACILITY REPORTED DISCREPANT GLUCOSE RESULTS FOR A NEONATE PATIENT. THERE WAS NO PATIENT HARM REPORTED. IF ADDITIONAL INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

MANUFACTURER NARRATIVE: THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED, AND NO ABNORMALITIES OR CONCERNS WERE OBSERVED. THE DHR INDICATED THAT THE RELEASED PRODUCT MET ALL SPECIFICATIONS. NOVA BIOMEDICAL HAD PREVIOUSLY OBSERVED AN INCREASE IN THE NUMBER OF COMPLAINTS RELATED TO HEELSTICK TECHNIQUE WHEN TESTING BLOOD GLUCOSE IN NEONATES. AS A RESULT OF THIS, COMPREHENSIVE TESTING WAS PERFORMED ON MULTIPLE STRIP LOTS SIMULATING NEONATE PATIENT USAGE, AND DETERMINED THAT WITH PROPER SAMPLE COLLECTION AND HANDLING THE SYSTEM GIVES ACCURATE RESULTS. A PREVENTATIVE ACTION HAD BEEN PREVIOUSLY INITIATED TO REVISE THE LABELLING TO ADD A PRECAUTION IN REGARDS TO CAPILLARY HEELSTICK SAMPLE COLLECTION.