BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1012753 · Received March 12, 2008

    Report

    Report Number
    1823260-2008-02343
    Event Type
    Malfunction
    Date Received
    March 12, 2008
    Date of Event
    March 5, 2008
    Report Date
    March 12, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    LAY USER/PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTEDLY RECEIVED RESULTS OF 322 MG/DL AND 130 MG/DL WITHIN 10 MINUTES ON THE ADVANTAGE SYSTEM. CUSTOMER ALSO REPORTEDLY RECEIVED RESULTS OF 424 MG/DL AND 178 MG/DL WITHIN 10 MINUTES ON THE ADVANTAGE SYSTEM. NO ACTIONS TAKEN BASED ON DEVICE RESULTS. NO ADVERSE EVENT REPORTED. REQUESTED RETURN OF 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 549906

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR METFORMIN 1000MG 2/DAY 8 OR 10 YRS| ARIMIDEX 1MG A DAY 8 MONTHS| GLYBURIDE 1.25MG 2/DAY 15 YRS PLUS