FDA Adverse Event
Malfunction
Summary report: N
ASCENSIA BREEZE2 TEST STRIPS (30)
MDR report key: 1031913
·
Received April 15, 2008
Report
- Report Number
- 1826988-2008-00402
- Event Type
- Malfunction
- Date Received
- April 15, 2008
- Date of Event
- March 24, 2008
- Report Date
- March 24, 2008
- Manufacturer
- BAYER HEALTHCARE LLC
- Product Code
- NBW
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER CALLED FOR HELP WITH HER NEW METER. WHILE PERFORMING CONTROL TESTS, SHE RECEIVED A RESULT OF "LO." THE NORMAL CONTROL RANGE WAS 89-121 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE TEST STRIPS AND METER ARE TO BE RETURNED FOR EVAL. REPLACEMENT PRODUCTS WERE SENT TO THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ASCENSIA BREEZE2 TEST STRIPS (30) | BLOOD GLUCOSE TEST STRIPS | NBW | BAYER HEALTHCARE LLC | 866044 | 1A5131AA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |