FDA Adverse Event Injury Summary report: N

FREESTYLE LIBRE 14 DAY

MDR report key: 10469027 · Received August 28, 2020

Report

Report Number
2954323-2020-05841
Event Type
Injury
Date Received
August 28, 2020
Date of Event
August 18, 2020
Report Date
August 28, 2020
Manufacturer
ABBOTT DIABETES CARE INC
Product Code
PZE
PMA / PMN Number
P160030
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

AT THIS TIME PRODUCT HAS NOT YET BEEN RETURNED AND A VALID SERIAL NUMBER HAS NOT BEEN PROVIDED. AN EXTENDED INVESTIGATION HAS BEEN PERFORMED FOR THE REPORTED COMPLAINT AND THERE WAS NO INDICATION THAT THE PRODUCT DID NOT MEET SPECIFICATION. A TRIPPED TREND REVIEW WAS CONDUCTED FOR THE REPORTED COMPLAINT AND FREESTYLE LIBRE SENSORS; NO TRENDS WERE IDENTIFIED THAT WOULD INDICATE ANY PRODUCT RELATED ISSUES. IF THE PRODUCT IS RETURNED, A PHYSICAL INVESTIGATION WILL BE PERFORMED AND A FOLLOW-UP REPORT SUBMITTED. THE DATE THE INCIDENT OCCURRED IS UNKNOWN. THE DATE ENTERED IS THE DATE ABBOTT DIABETES CARE BECAME AWARE OF THE EVENT. THE DEVICE MFG DATE IS UNKNOWN. THE DATE ENTERED IS THE DATE ABBOTT DIABETES CARE BECAME AWARE OF THE EVENT. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 1

A HEALTHCARE PROFESSIONAL REPORTED THE ADC FREESTYLE LIBRE SENSOR FILAMENT WAS LEFT IN THE CUSTOMER¿S SKIN. THE CUSTOMER WAS UNABLE TO SELF-TREAT, AND THE HEALTHCARE PROFESSIONAL APPLIED ¿LMX¿ CREAM AND REMOVED THE FILAMENT WITH TWEEZERS. NO FURTHER TREATMENT WAS REPORTED. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
931266 FREESTYLE LIBRE 14 DAY FLASH GLUCOSE MONITORING SYSTEM PZE ABBOTT DIABETES CARE INC 71940-01

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention