FDA Adverse Event
Malfunction
Summary report: N
CONTOUR TEST STRIPS (10)
MDR report key: 1031891
·
Received April 15, 2008
Report
- Report Number
- 1826988-2008-00398
- Event Type
- Malfunction
- Date Received
- April 15, 2008
- Date of Event
- March 17, 2008
- Report Date
- March 17, 2008
- Manufacturer
- BAYER HEALTHCARE, LLC
- Product Code
- NBW
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE REMAINING TEST STRIPS RECEIVED BY THE QA LAB WERE USED, SO IT WAS NOT POSSIBLE TO TEST. PERFORMANCE OF THE CUSTOMER'S METER WAS SATISFACTORY USING IQA RETENTION REAGENT.
Description of Event or Problem · 1
THE CUSTOMER CALLED FOR HELP WITH HIS METER. WHILE TROUBLESHOOTING, HE PERFORMED A CONTROL TEST AND RECEIVED A RESULT OF 205 MG/DL. THE NORMAL CONTROL RANGE WAS 100-138 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE TEST STRIPS AND METER WERE RETURNED FOR EVALUATION. REPLACEMENT PRODUCTS WERE SENT TO THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CONTOUR TEST STRIPS (10) | BLOOD GLUCOSE TEST STRIPS | NBW | BAYER HEALTHCARE, LLC | 9507B | 6JC3C52 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |