FDA Adverse Event
Malfunction
Summary report: N
FREESTYLE
MDR report key: 1010184
·
Received March 10, 2008
Report
- Report Number
- 2954323-2008-01022
- Event Type
- Malfunction
- Date Received
- March 10, 2008
- Date of Event
- February 8, 2008
- Report Date
- March 7, 2008
- Manufacturer
- ABBOTT DIABETES CARE INC., USA
- Product Code
- LFR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- NO INFORMATION
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER'S PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE INVESTIGATION RESULTS ARE AVAILABLE.
Description of Event or Problem · 1
CUSTOMER REPORTED RECEIVING A LOW READING OF 100 MG/DL ON HER FREESTYLE BLOOD GLUCOSE MONITOR. A REFERENCE VALUE OF 249 MG/DL WAS RECEIVED ON A LAB'S METER. THE RESULTS WHEN PLOTTED ON A PARKES ERROR GRID FALL INTO THE "C" ZONE SHOWING THE DIFFERENCE IN VALUES TO BE CLINICALLY SIGNIFICANT. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FREESTYLE | BLOOD GLUCOSE MONITORING SYSTEM | LFR | ABBOTT DIABETES CARE INC., USA | NI | 0435806 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |