FDA Adverse Event Injury Summary report: N

ASCENSIA BREEZE2

MDR report key: 1020667 · Received March 27, 2008

Report

Report Number
1826988-2008-00313
Event Type
Injury
Date Received
March 27, 2008
Date of Event
March 6, 2008
Report Date
March 6, 2008
Manufacturer
BAYER HEALTHCARE, LLC
Product Code
NBW
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A CUSTOMER IN THE NORDICS STATED THAT SHE RECEIVED HIGH GLUCOSE READINGS USING HER BREEZE2 METER. SHE ALLEGED THAT ON 2 OCCASIONS SHE TOOK INSULIN BASED ON THE RESULTS AND BECAME HYPOGLYCEMIC. THE CUSTOMER WAS TAKEN TO THE HOSPITAL, BUT SHE DID NOT PROVIDE ANY MORE INFORMATION ABOUT THE EVENT. THE CUSTOMER PERFORMED COMPARISON TESTS USING HER BREEZE2 AND CONTOUR METERS. THE BREEZE2 READ 4 MMOL/L (72 MG/DL), WHILE THE CONTOUR READ 2 MMOL/L (36 MG/DL). THE DIFFERENCE BETWEEN THE READINGS FALLS IN THE "C" ZONE OF THE PARKES ERROR GRID, MAKING THE DIFFERENCE CLINICALLY SIGNIFICANT. THE TEST STRIPS AND METER ARE TO BE RETURNED FOR EVALUATION. REPLACEMENT PRODUCTS WILL BE SENT TO THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ASCENSIA BREEZE2 BLOOD GLUCOSE METER NBW BAYER HEALTHCARE, LLC 1447 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization| R