FDA Adverse Event Other Summary report: N

CLINITEK STATUS

MDR report key: 3012073 · Received March 12, 2013

Report

Report Number
1217157-2013-00033
Event Type
Other
Date Received
March 12, 2013
Date of Event
February 1, 2013
Report Date
February 22, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
KQO
PMA / PMN Number
K031560
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER WAS RUNNING NON-SIEMENS URINE TEST STRIPS WHICH ARE NOT APPROVED FOR USE ON THE CLINITEK STATUS SYSTEM. CUSTOMER WAS INFORMED THAT SIEMENS DOES NOT PROVIDE SUPPORT FOR THE USE OF NON-SIEMENS URINE STRIPS AS THEY ARE NOT APPROVED FOR USE ON THE INSTRUMENT. CUSTOMER AGREED TO ORDER SIEMENS URINE STRIPS THAT ARE APPROVED FOR USE ON THE CLINITEK STATUS SYSTEM.

Description of Event or Problem · 1

CUSTOMER REPORTS THAT ALL GLUCOSE SAMPLES BEING TESTED ON THE CLINITEK STATUS WITH NON-SIEMENS URINE STRIPS HAVE RESULTS OF 100. THE SYSTEM IS PROGRAMMED TO RUN SIEMENS MULTISTIX 10SG URINE STRIPS. NO INFORMATION REGARDING QC ON THE SYSTEM WAS AVAILABLE. THERE WAS NO REPORT OF INJURY FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104352 CLINITEK STATUS CT STATUS KQO SIEMENS HEALTHCARE DIAGNOSTICS INC.

Patients

Seq Age Sex Outcome Treatment
1