FDA Adverse Event Malfunction Summary report: N

STATSTRIP GLUCOSE HOSPITAL METER SYSTEM

MDR report key: 21955756 · Received May 2, 2025

Report

Report Number
1219029-2025-00007
Event Type
Malfunction
Date Received
May 2, 2025
Date of Event
January 21, 2025
Report Date
May 2, 2025
Manufacturer
NOVA BIOMEDICAL CORP.
Product Code
PZI
UDI-DI
10385480636855
PMA / PMN Number
K232075
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE SOFTWARE DEVELOPMENT TEAM LOOKED AT THE METER THAT WAS RECEIVED FROM THE FIELD AND FOUND THE RECORDS THAT WERE MISSING THE PATIENT ID'S IN THE METER'S DATABASE. THE CAUSE WAS NOT APPARENT. MOST RECORDS IN THE DATABASE WERE WITH PATIENT ID ALONG WITH SOME MISSING ONES. USING THE SAME METER CONFIGURATION RECEIVED FROM THE SITE, IN-HOUSE TESTING WAS PERFORMED. AFTER GOING OVER 200+ RESULTS ON THREE DIFFERENT METERS THE REPORTED PROBLEM WAS NOT SEEN/ REPRODUCED. ROOT CAUSE COULD NOT BE CONCLUSIVELY DETERMINED. INCIDENTALLY, FIRMWARE 0.0.13.50 WAS INSTALLED AT THE CUSTOMER SITE. THERE HAVE BEEN NO FURTHER INCIDENTS OF MISSING PATIENT ID'S FROM THE METER DATABASE. THE LATEST HOST FIRMWARE 0.0.13.50 RELEASED ON MV-52120 (ECO-52146) HAS BEEN INSTALLED AT SITE FOR THE PAST 2+ WEEKS AND THERE HAS BEEN NO SUCH INCIDENT. THE SITE COORDINATOR HAS CONFIRMED THAT ALL RESULTS COMING FROM THE METERS HAVE PATIENT ID'S SINCE INSTALLING THE LATEST HOST FIRMWARE.

Description of Event or Problem · 0

"METER RAN PROPERLY DURING PATIENT TEST, BUT WHEN METER CONNECTED TO NN AND ONTO QML (MIDDLEWARE) THE PATIENT ID NUMBER WAS DROPPED FROM THE METER."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1830503 STATSTRIP GLUCOSE HOSPITAL METER SYSTEM PRESCRIPTION USE BLOOD GLUCOSE METER FOR NEAR -PATIENT TESTING PZI NOVA BIOMEDICAL CORP. 2820624164 10385480636855

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown