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