FDA Adverse Event Other Summary report: N

MULTISTIX 8 SG

MDR report key: 3163073 · Received May 10, 2013

Report

Report Number
1217157-2013-00076
Event Type
Other
Date Received
May 10, 2013
Date of Event
April 3, 2013
Report Date
April 22, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
JIO
PMA / PMN Number
K905396
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHARMACIST

Narratives

Additional Manufacturer Narrative · 1

THE DISCORDANT RESULTS WERE DUE TO OPERATOR ERROR. SIEMENS INVESTIGATION FOUND THAT THE SITE WAS USING A NON-SIEMENS INSTRUMENT TO READ THE SIEMENS MULTISTIX 8SG STRIPS. AS STATED IN THE MULTISTIX 8SG IFU: SIEMENS REAGENT STRIPS ARE READY TO USE UPON REMOVAL FROM THE BOTTLE AND THE ENTIRE REAGENT STRIP IS DISPOSABLE. THE STRIPS MAY BE READ VISUALLY, REQUIRING NO ADDITIONAL LABORATORY EQUIPMENT FOR TESTING. THE STRIPS CAN ALSO BE READ INSTRUMENTALLY, USING THE CLINITEK FAMILY OF URINE CHEMISTRY ANALYZERS AND THE APPROPRIATE SOFTWARE.

Description of Event or Problem · 1

CUSTOMER REPORTED FALSE NEGATIVE RESULTS FOR LEUKOCYTES ON MULTISTIX 8SG STRIPS. THERE WAS NO REPORT OF INJURY AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
209458 MULTISTIX 8 SG MULTISTIX 8 SG JIO SIEMENS HEALTHCARE DIAGNOSTICS INC. 207056

Patients

Seq Age Sex Outcome Treatment
1