Nova Biomedical StatStrip Glucose Meter recalled for patient data misassignment risk
What this means
A software bug in the StatStrip Glucose and B-Ketone meter (Model 63910) can cause the device to display a previously scanned patient barcode when scanning a new one. If an operator doesn't notice the mismatch and accepts the incorrect patient information, the current patient's glucose result gets recorded in the wrong patient's medical record, and the actual patient receives no result. This could lead to incorrect treatment decisions, especially for critically ill patients, newborns, and infants.
- If your facility uses StatStrip Model 63910 meters, carefully verify that the patient ID displayed on the screen matches the barcode being scanned before accepting each result.
- Contact Nova Biomedical Corporation for instructions on software updates or device replacement.
- Review recent test results to identify any potential patient data mismatches in your records.
The agency's original wording
A software synchronization/timing issue in the barcode scanning and patient data processing component that causes the device to intermittently retain a previously scanned barcode including patient identification (ID) barcodes and quality control (QC) solution ID barcodes when a new barcode is scanned, resulting in the prior barcode information remaining displayed on the screen for the current test. When this defect occurs and the operator accepts the incorrectly displayed patient information without recognizing the mismatch, the current patient's glucose result will be incorrectly assigned to the previous patient's medical record and transmitted to the data management system (DMS), and the current patient's medical record will not receive a result, leaving their glucose status unrecorded and their clinical management without the information needed to guide treatment decisions. The previous patient, whose medical record now contains a glucose result that does not belong to them, may receive inappropriate clinical intervention based on that erroneous result, particularly in critically ill patients, neonates, and infants who cannot communicate symptoms or self-treat. The defect also affects QC barcode scanning: if a QC scan triggers the same retention behavior, QC results may be attributed to an incorrect identifier or QC tests may fail without the user recognizing the underlying cause. This defect does not affect the analytical accuracy of glucose measurements.
Official notice
https://www.accessdata.fda.gov/scripts/ires/index.cfm?Product=Z-3131-2026More Nova Biomedical recalls
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