FDA Adverse Event Injury Summary report: N

PRECISION XTRA/OPTIUM

MDR report key: 1031831 · Received April 18, 2008

Report

Report Number
2954323-2008-01525
Event Type
Injury
Date Received
April 18, 2008
Date of Event
March 20, 2008
Report Date
April 18, 2008
Manufacturer
ABBOTT DIABETES CARE LIMITED UK
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITIAL REPORT. THE CUSTOMER'S PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE INVESTIGATION RESULTS ARE AVAILABLE.

Description of Event or Problem · 1

CUSTOMER'S HEALTH CARE PROVIDER REPORTED CUSTOMER RECEIVED ERRATIC GLUCOSE READINGS FROM THEIR PRECISION XTRA METER. CUSTOMER'S HEALTH CARE PROVIDER REPORTED CUSTOMER EXPERIENCED SYMPTOMS OF DIAPHORESIS AND LOSS OF CONSCIOUSNESS. PARAMEDICS WERE CALLED, AND THEY TRANSPORTED CUSTOMER TO HOSPITAL WHERE HE WAS DIAGNOSED WITH SEVERE HYPOGLYCEMIA. THERE IS NO REPORT ON TREATMENT GIVEN AT THE HOSPITAL; AN INVESTIGATION INTO THE DETAILS OF THIS EVENT IS IN PROCESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRECISION XTRA/OPTIUM BLOOD GLUCOSE METER NBW ABBOTT DIABETES CARE LIMITED UK NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization| R