FDA Adverse Event Injury Summary report: N

MCKESSON CONSULT U120

MDR report key: 8299480 · Received February 1, 2019

Report

Report Number
2531491-2019-00001
Event Type
Injury
Date Received
February 1, 2019
Report Date
January 3, 2019
Manufacturer
ACON LABORATORIES, INC.
Product Code
JRE
PMA / PMN Number
K120124
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REPORTING OF THIS CASE IS BASED ON A CALL RECEIVED FROM A DOCTOR'S OFFICE IN (B)(6) WHO WAS HAVING ISSUES WITH THEIR URINE ANALYZER. CUSTOMER REPORTED THAT THEIR ANALYZER WAS READING NEGATIVE FOR LEUKOCYTES BUT THE PATIENT WAS HOSPITALIZED THE NEXT DAY DUE TO SEPSIS AS A RESULT OF UTI. IN FOLLOW UP COMMUNICATION FOR THIS CASE, THE CUSTOMER CLARIFIED THAT THE LAB RESULT WAS NEGATIVE FOR INFECTION. ACCORDING TO THE CUSTOMER, THE CULTURE WAS DRAWN UP WITHIN MINUTES AND SENT TO THE LAB ON THE SAME DAY. CUSTOMER REPORTED THAT HOSPITALIZED PATIENT WAS TREATED AT THE HOSPITAL AND IS OK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
91170 MCKESSON CONSULT U120 URINE ANALYZER JRE ACON LABORATORIES, INC. U120

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization