BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONTOUR TEST STRIPS (50)

    MDR report key: 1052390 · Received May 23, 2008

    Report

    Report Number
    1826988-2008-00545
    Event Type
    Malfunction
    Date Received
    May 23, 2008
    Date of Event
    April 26, 2008
    Report Date
    April 26, 2008
    Manufacturer
    BAYER HEALTHCARE, LLC
    Product Code
    NBW
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER STATED THAT SHE PERFORMED A CONTROL TEST AND REC'D A RESULT OF 298 MG/DL. WHILE TROUBLESHOOTING, SHE PERFORMED MORE CONTROL TESTS AND REC'D A RESULT OF 282 MG/DL. THE NORMAL CONTROL RANGE WAS 103-142 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. 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 METER NBW BAYER HEALTHCARE, LLC 7080D 7JC3B06

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK