FDA Adverse Event Malfunction Summary report: N

HYDRION

MDR report key: 13666400 · Received March 4, 2022

Report

Report Number
13666400
Event Type
Malfunction
Date Received
March 4, 2022
Date of Event
February 15, 2022
Report Date
February 18, 2022
Manufacturer
MICRO ESSENTIAL LABORATORY, INC.
Product Code
LNW
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MA
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

THE PATIENT WAS TO RECEIVE HIGH-DOSE METHOTREXATE ALONG WITH TESTING URINE ALL SHIFT. THE POCT (POINT-OF-CARE TESTING) TESTING STRIPS WERE RESULTING WITH PH RANGES OF 6.5 TO 7.0 SODIUM BICARB RATE OF INFUSION WAS INCREASED WITH NO CHANGE IN PH LEVELS. A UA WAS SENT TO THE HOSPITAL LABORATORY, AND THE PH RESULT WAS 9.0 X 2. HERE IS A BREAKDOWN OF THE DISCREPANT URINE PH TESTING RESULTS OF THE POCT STRIPS USED VERSUS WHAT THE HOSPITAL LABORATORY RESULTS WERE: DATE TIME: 1627, PH POCT: 6.5 POCT, VS TIME: 1702, LAB (L) RUN: 9 L; DATE TIME: 1703, PH POCT: 6.5 POCT, VS TIME: 1810, LAB (L) RUN: 9 L; DATE TIME: 1827, PH POCT: 7 POCT, VS TIME: 0010, LAB (L) RUN: 9 L; DATE TIME: 0847, PH POCT: 8 POCT, VS TIME: 0845 LAB (L) RUN: 9 L; DATE TIME:1048, PH POCT: 8 POCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1705940 HYDRION PAPER, OBSTETRIC PH LNW MICRO ESSENTIAL LABORATORY, INC. 205820V

Patients

Seq Age Sex Outcome Treatment
1 20805 DA Male