BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FREESTYLE

    MDR report key: 1012061 · Received May 14, 2007

    Report

    Report Number
    2954323-2007-07844
    Event Type
    Malfunction
    Date Received
    May 14, 2007
    Date of Event
    April 16, 2007
    Report Date
    May 15, 2007
    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

    THE CUSTOMER REPORTED AN ISSUE WITH THEIR METER WHICH SUGGESTS THE MEMORY OVERWRITE MALFUNCTION HAS OCCURRED. THE PRODUCT HAS BEEN REQUESTED FOR INVESTIGATION. A FOLLOW UP REPORT WILL BE SUBMITTED IF THE METER IS RETURNED. CUSTOMERS AND RETAILERS HAVE BEEN INFORMED THROUGH THE LETTER.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED AN ISSUE WITH THEIR METER WHICH SUGGESTS THE MEMORY OVERWRITE MALFUNCTION HAS OCCURRED. THE CUSTOMER REPORTED ADJUSTING HIS DOSE BASED ON READING IN THE INCORRECT UNIT OF MEASUREMENT AND EXPERIENCED SYMPTOMS OF DIZZINESS, BAD VISION AND DIFFICULTY WALKING. THE CUSTOMER DID NOT REPORT ANDY THIRD PARTY MEDICAL INTERVENTION. THERE WAS NO REPORT OF DEATH OR SERIOUS INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FREESTYLE BLOOD GLUCOSE MONITORING SYSTEM LFR ABBOTT DIABETES CARE INC, USA NI 0633436

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK