BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1041204 · Received May 9, 2008

    Report

    Report Number
    1823260-2008-03893
    Event Type
    Malfunction
    Date Received
    May 9, 2008
    Date of Event
    May 8, 2008
    Report Date
    May 9, 2008
    Manufacturer
    ROCHE DIAGNOSTICS CORP.
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    LAY USER/PATIENT

    Narratives

    Description of Event or Problem · 1

    CALLER REPORTS BACK TO BACK TESTING TO A PROFESSIONAL METER WHILE USING THE ADVANTAGE SYSTEM WITH RESULTS OF 277 MG/DL; ON THE CUSTOMER'S METER AND 128 MG/DL ON A PROFESSIONAL METER. NO QUALITY CONTROLS WERE RUN. NO ADVERSE EVENT REPORTED. A REQUEST WAS MADE FOR RETURN OF THE SUSPECT PRODUCT AND A REPLACEMENT WAS SENT.

    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 CORP. 549710

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR "FUROATE" 220MCG 2 PUFFS PM| NIFEDIPINE 60 MG/DAY| MOMETASONE 2 PUFFS| SIMVASTATIN 40MG 1/2 TAB PM