FDA Adverse Event Malfunction Summary report: N

ACCU-CHEK COMFORT CURVE TEST STRIPS

MDR report key: 1003476 · Received February 21, 2008

Report

Report Number
1823260-2008-01778
Event Type
Malfunction
Date Received
February 21, 2008
Date of Event
February 15, 2008
Report Date
February 21, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
LFR
PMA / PMN Number
K010362
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

CALLER REPORTS BACK TO BACK TESTING ON THE SAME METER WHILE USING THE INFORM SYSTEM WITH RESULTS OF HI (>600MG/DL) AND 35MG/DL. CALLER REPORTS ROUTINE QC TESTING APPEARS TO HAVE BEEN PERFORMED AND ALL RESULTS WERE PASS. NO PT INFO WAS PROVIDED. A REQUEST WAS MADE FOR RETURN OF THE SUSPECT DEVICE AND REPLACEMENT WAS SENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHEK COMFORT CURVE TEST STRIPS BLOOD GLUCOSE MONITORING TEST STRIPS - LFR LFR ROCHE DIAGNOSTICS NI

Patients

Seq Age Sex Outcome Treatment
1 UNK