BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1032701 · Received April 22, 2008

    Report

    Report Number
    1823260-2008-03436
    Event Type
    Malfunction
    Date Received
    April 22, 2008
    Date of Event
    April 5, 2008
    Report Date
    April 22, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    LAY USER/PATIENT

    Narratives

    Description of Event or Problem · 1

    THE REPORTER STATES THAT SHE OBTAINED BLOOD GLUCOSE COMPARISON WITH RESULTS 97MG/DL, 140MG/DL, 298MG/DL AND 110MG/DL ON THE ACCU-CHEK ADVANTAGE SYSTEM. THE RESULTS WERE OBTAINED WITHIN A 10 MIN TIMEFRAME. SHE TREATED HERSELF AND FELT BETTER AFTER TREATMENT. NO ADVERSE EVENT REPORTED. NEW SYSTEM SENT TO CUSTOMER AND RETURN REQUESTED.

    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 550500

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR APIDRA SLIDING SCALE 1.5 MONTHS| LEVEMIR "50-55 UNITS/DAY" 1.5 MONTHS