BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONTOUR TEST STRIPS (50)

    MDR report key: 1032099 · Received April 18, 2008

    Report

    Report Number
    1826988-2008-00471
    Event Type
    Malfunction
    Date Received
    April 18, 2008
    Date of Event
    April 10, 2008
    Report Date
    April 10, 2008
    Manufacturer
    BAYER HEALTHCARE, LLC
    Product Code
    NBW
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER ALLEGED THAT HE PERFORMED CONTROL TESTS AND REC'D RESULTS OF 413, 373, AND 381 MG/DL. THE NORMAL CONTROL RANGE WAS 99-136 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE CUSTOMER DISPOSED OF THE CONTROL TEST SOLUTION, SO FURTHER TROUBLESHOOTING WAS NOT POSSIBLE. THE TEST STRIPS ARE TO BE RETURNED FOR EVAL. REPLACEMENT TEST STRIPS WERE SENT TO THE CUSTOMER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONTOUR TEST STRIPS (50) BLOOD GLUCOSE TEST STRIPS NBW BAYER HEALTHCARE, LLC NOT PROVIDED 6LC3C09

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK