FDA Adverse Event Other Summary report: N

MULTISTIX 10SG STRIPS

MDR report key: 3601616 · Received January 13, 2014

Report

Report Number
1217157-2013-00260
Event Type
Other
Date Received
January 13, 2014
Date of Event
November 25, 2013
Report Date
December 20, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC
Product Code
JIO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER INDICATED THAT THEY RUN PATIENT SAMPLES EVEN WHEN THE QUALITY CONTROL (QC) FAILED. CUSTOMER SHOULD NOT HAVE RUN THE PATIENT SAMPLES WHEN QC WAS FAILED. CUSTOMER HAS BEEN PROVIDED WITH NEW BOTTLE OF MULTISTIX 10SG STRIPS. CUSTOMER INDICATED THAT THE ISSUE IS RESOLVED WITH A NEW LOT OF MULTISTIX 10SG STRIPS. THE EVENT HAS OCCURRED DUE TO AN OPERATOR ERROR.

Description of Event or Problem · 1

CUSTOMER REPORTED 27 FALSE POSITIVE UROBILINOGEN RESULTS USING DETERIORATED MULTISTIX 10SG TEST STRIPS. CUSTOMER INDICATED THAT THEY HAVE BEEN RUNNING PATIENT SAMPLES ON THESE TEST STRIPS SINCE (B)(6) 2013. THERE WAS NO REPORT OF INJURY DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
23346 MULTISTIX 10SG STRIPS MULTISTIX 10SG JIO SIEMENS HEALTHCARE DIAGNOSTICS INC

Patients

Seq Age Sex Outcome Treatment
1