FDA Adverse Event Malfunction Summary report: N

ACCU-CHEK COMPACT PLUS

MDR report key: 1002652 · Received February 8, 2008

Report

Report Number
1823260-2008-01371
Event Type
Malfunction
Date Received
February 8, 2008
Date of Event
January 29, 2008
Report Date
February 8, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
NBW
PMA / PMN Number
K031755
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
LAY USER/PATIENT

Narratives

Description of Event or Problem · 1

REPORTER ALLEGED SEGMENTS WERE MISSING FROM THE DISPLAY IN THE NUMBER RESULT FIELD OF THE COMPACT PLUS SYSTEM. REPORTER DISCOVERED THE ALLEGED DISPLAY ISSUE WHEN SHE CALLED THE MANUFACTURER. NO ACTIONS OR TREATMENTS WERE REPORTED. NO ADVERSE EVENT REPORTED. A REQUEST WAS MADE FOR THE RETURN OF THE SUSPECT DEVICE AND REPLACEMENT PRODUCT WAS SENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHEK COMPACT PLUS BLOOD GLUCOSE MONITORING DEVICE - NBW NBW ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 44 YR AVANDIA - 5 YEARS / 4 MG TWICE DAILY| LANTUS - 3 YEARS / 80 UNITS ONCE DAILY| METFORMIN - 8 YEARS / 1000 MG TWICE DAILY| GLIPIZIDE - 8 YEARS / 10MG TWICE DAILY