BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1022630 · Received March 31, 2008

    Report

    Report Number
    1823260-2008-02867
    Event Type
    Malfunction
    Date Received
    March 31, 2008
    Date of Event
    March 25, 2008
    Report Date
    March 31, 2008
    Manufacturer
    ROCHE DIAGNOSTICS CANADA
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS MEDWATCH IS FOR THE SUSPECT DEVICE USED IN INFORM SYSTEM #1.

    Description of Event or Problem · 1

    CALLER REPORTS BACK TO BACK RESULTS OF 375 MG/DL ON INFORM SYSTEM #1 COMPARED TO RESULTS OF 162MG/DL ON INFORM SYSTEM #2. CALLER REPORTS PATIENT RECEIVED NO TREATMENT BASED ON RESULT OF 375 MG/DL; NO TREATMENT INFORMATION WAS PROVIDED. CALLER REPORTS QUALITY CONTROLS WERE RUN AND IN RANGE. NO ADVERSE EVENT REPORTED. CALLER REPORTS THERE ARE NO STRIPS TO RETURN; A 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 CANADA 550528

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK