FDA Adverse Event Malfunction Summary report: N

ONE TOUCH ULTRALINK METER

MDR report key: 1051904 · Received May 23, 2008

Report

Report Number
2939301-2008-00906
Event Type
Malfunction
Date Received
May 23, 2008
Report Date
May 21, 2008
Manufacturer
LIFESCAN, INC.
Product Code
NBW
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
LAY USER/PATIENT
Health Professional
N

Narratives

Additional Manufacturer Narrative · 1

LIFESCAN HAS REQUESTED THE RETURN OF THE SUBJECT STRIPS FOR EVAL, BUT HAS NOT YET RECEIVED THEM. IF THE STRIPS ARE RETURNED, LIFESCAN WILL EVALUATE THEM AND, IF THE STRIPS DO NOT PASS INSPECTION, LIFESCAN WILL INFORM FDA OF THE RESULTS IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE LAY/USER PT CONTACTED LIFESCAN ALLEGING THAT THE PROD WAS READING INACCURATELY HIGH WHEN A CONTROL SOLUTION TEST WAS DONE. WHEN THE CUSTOMER CARE ADVOCATE (CCA) WALKED THE LAY USER THROUGH CONTROL SOLUTION TEST, THE RESULTS WERE NOT WITHIN THE SPECIFIED CONTROL SOLUTION RANGE BUT WHEN RETESTED WITH A NEW VIAL OF TEST STRIPS, THE RESULTS CAME WITHIN THE SPECIFIED RANGE. DURING THE TROUBLESHOOTING, THE CCA FOUND OUT THAT THE PT WAS USING THE CORRECT TESTING TECHNIQUE AND THE METER WAS SET TO THE CORRECT UNIT OF MEASURE. THE PT'S TEST STRIPS WERE REPLACED. THERE WERE NO ALLEGATIONS OF HARM OR INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ONE TOUCH ULTRALINK METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN, INC. NA 2810415

Patients

Seq Age Sex Outcome Treatment
1 Female