FDA Adverse Event Other Summary report: N

CLINITEK STATUS

MDR report key: 3054936 · Received April 3, 2013

Report

Report Number
1217157-2013-00050
Event Type
Other
Date Received
April 3, 2013
Date of Event
March 19, 2013
Report Date
March 19, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC
Product Code
CHL
PMA / PMN Number
K091216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE NIH PT ID NUMBER CANNOT BE ENTERED INTO THE INSTRUMENT MANUALLY, IT MUST BE ENTERED BY SCANNING A NON-SIEMENS GENERATED BARCODE. THE SYSTEM BARCODE READER WAS CHECKED AND FOUND TO BE CLEAN. THE CONNECTION WAS CHECKED AND FOUND TO BE CORRECT. TEST BARCODES READ CORRECTLY. THE BARCODES IN QUESTION HAD BEEN THROWN AWAY, SO THEY COULD NOT BE TESTED BY A SIEMENS FIELD ENGINEER. A NEWLY GENERATED NHI ID BARCODE WAS SCANNED OVER 30 TIMES FORM A FLAT BARCODE, AND ALL SCANS WERE CORRECT. WHEN A BARCODE THAT HAD BEEN PLACED ON A CONTAINER AND HAD A SLIGHT CURVE TO IT, THERE WAS ONE ERROR OUT OF THE 30 SCANS RUN.

Description of Event or Problem · 1

CUSTOMER REPORTS THAT WHEN SCANNING A NON-SIEMENS MADE BARCODE THAT IS USED TO ENTER A UNIQUE NHI PT ID NUMBER FOR A URINE SAMPLE INTO THE INSTRUMENT, IT DID NOT SCAN INTO THE INSTRUMENT AS THE SAME NUMBER ON THE BARCODE. THERE WAS NO REPORT OF INJURY FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
135508 CLINITEK STATUS CT STATUS CHL SIEMENS HEALTHCARE DIAGNOSTICS INC

Patients

Seq Age Sex Outcome Treatment
1