BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URS - 1K URINALYSIS STRIP

    MDR report key: 473765 · Received July 24, 2003

    Report

    Report Number
    MW1029069
    Event Type
    Injury
    Date Received
    July 24, 2003
    Date of Event
    June 26, 2003
    Report Date
    July 14, 2003
    Manufacturer
    L.W. SCIENTIFIC, INC.
    Product Code
    JIL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT USED URS-1K KETONE STRIP WHILE ILL. STRIP READ NEGATIVE KETONES. PT REFERRED TO ERC AND DIGNOSED WITH DKA REQUIRING ADMISSION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 URS - 1K URINALYSIS STRIP URINE REAGENT STRIP JIL L.W. SCIENTIFIC, INC. * B10345

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization