FDA Adverse Event Injury Summary report: N

FREESTYLE LIBRELINK

MDR report key: 10214571 · Received June 30, 2020

Report

Report Number
2954323-2020-04438
Event Type
Injury
Date Received
June 30, 2020
Date of Event
June 22, 2020
Report Date
August 11, 2020
Manufacturer
ABBOTT DIABETES CARE INC
Product Code
PZE
PMA / PMN Number
P160030
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

ADC PRODUCT QUALITY ENGINEERING (PQE) INVESTIGATED THIS COMPLAINT IN WHICH THE USER REPORTED NOT BEING ABLE TO SCAN A LIBRE SENSOR WHEN USING A SAMSUNG S9 DEVICE WITH ANDROID 10 WHEN THE BATTERY WAS BELOW 80%. PQE ATTEMPTED TO REPLICATE THE COMPLAINT USING A SIMILAR CONFIGURATION AND WAS NOT ABLE TO REPLICATE THE ISSUE. RESEARCH & DEVELOPMENT ALSO TRIED TO REPLICATE THIS ISSUE USING A SAMSUNG 9 WITH DIFFERENT OS VERSIONS (8, 9, 10), A LIBRE SENSOR, AND DIFFERENT BATTERY LEVELS. THE SENSOR SCANNED SUCCESSFULLY WITHOUT ANY ISSUES UNDER ALL SCENARIOS. AS PQE WAS NOT ABLE TO REPLICATE THE USER COMPLAINT, THE COMPLAINT IS NOT CONFIRMED. NO MALFUNCTION OR PRODUCT DEFICIENCY WAS IDENTIFIED.

Description of Event or Problem · 0

CUSTOMER REPORTED BEING UNABLE TO SCAN THE ADC FREESTYLE LIBRE SENSOR USING THE ANDROID LIBRE LINK APP 10 WHEN THE SENSOR BATTERY IF BELOW 80%. CUSTOMER FURTHER REPORTED BEING UNWELL AND EXPERIENCED HEADACHE AND WAS TREATED WITH SUGAR BY A NON-HCP. NO FURTHER TREATMENT WAS REPORTED. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Additional Manufacturer Narrative · 1

THE PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE ADDITIONAL INFORMATION IS OBTAINED. THE DEVICE MFG DATE IS UNKNOWN. THE DATE ENTERED IS THE DATE ABBOTT DIABETES CARE BECAME AWARE OF THE EVENT. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 1

CUSTOMER REPORTED BEING UNABLE TO SCAN THE ADC FREESTYLE LIBRE SENSOR USING THE ANDROID LIBRE LINK APP 10 WHEN THE SENSOR BATTERY IF BELOW 80%. CUSTOMER FURTHER REPORTED BEING UNWELL AND EXPERIENCED HEADACHE AND WAS TREATED WITH SUGAR BY A NON-HCP. NO FURTHER TREATMENT WAS REPORTED. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
675746 FREESTYLE LIBRELINK DATA MANAGEMENT SYSTEM PZE ABBOTT DIABETES CARE INC 71733-01

Patients

Seq Age Sex Outcome Treatment
1 45 YR Required Intervention