FDA Adverse Event Injury Summary report: N

ACCU-CHEK SPIRIT

MDR report key: 1003006 · Received February 22, 2008

Report

Report Number
2183996-2008-00201
Event Type
Injury
Date Received
February 22, 2008
Date of Event
February 6, 2008
Report Date
February 8, 2008
Manufacturer
DISETRONIC MEDICAL SYSTEMS
Product Code
LZG
PMA / PMN Number
K060876
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NO PRODUCT WILL BE RETURNED FOR EVALUATION.

Description of Event or Problem · 1

IN 2008, THE PT STATED THAT HER BLOOD GLUCOSE BEGAN TO ELEVATE ON THE SAME DAY. SHE STATED THAT SHE HAD A STOMACH VIRUS THAT MORNING AND WAS VOMITING AND SHE WAS ADMITTED TO THE HOSPITAL WITH A BLOOD GLUCOSE LEVEL OF 400-500 MG/DL. HER NORMAL BLOOD GLUCOSE RANGE IS 80-120 MG/DL. HER BLOOD GLUCOSE WAS MEASURED AT 592 MG/DL WHILE IN THE HOSPITAL AND SHE WAS GIVEN A 25 UNIT INJECTION OF INSULIN AND HER BLOOD GLUCOSE LOWERED TO 444 MG/DL. SHE STATED THAT TYPICALLY THAT AMOUNT OF INSULIN WOULD CAUSE HER BLOOD GLUCOSE TO BE LOW. SHE STATED THAT SHE HAS A VERY SLOW ABSORPTION RATE THAT MAY BE DUE TO SCARRING. SHE STATED THAT EARLIER IN THE DAY, HER BLOOD GLUCOSE HAD DECREASED TO 160 MG/DL. HER BLOOD GLUCOSE AT THE TIME OF THE REPORT MEASURED 368 MG/DL. HER PHYSICIAN REQUESTED THAT SHE RAISE HER BASAL RATES. TROUBLESHOOTING DID NOT REVEAL ANY PRODUCT ISSUES. UPON FOLLOW UP ON TWO DAYS LATER, THE PATIENT STATED SHE WAS RELEASED FROM THE HOSPITAL AND HER BLOOD GLUCOSE WAS "FINE". NO PRODUCT WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHEK SPIRIT INSULIN INFUSION PUMP LZG DISETRONIC MEDICAL SYSTEMS NA NA

Patients

Seq Age Sex Outcome Treatment
1 YR Hospitalization| O| R INSULIN| INSULIN INFUSION SET