FDA Adverse Event Malfunction Summary report: N

NOVA MAX GLUCOSE MONITOR

MDR report key: 1070381 · Received July 3, 2008

Report

Report Number
3004193489-2008-00485
Event Type
Malfunction
Date Received
July 3, 2008
Date of Event
June 28, 2008
Report Date
July 3, 2008
Manufacturer
NOVA BIOMEDICAL CORP.
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVALUATION. SHOULD ANY SIGNIFICANT FINDINGS BE A RESULT OF THAT INVESTIGATION, A FOLLOW-UP REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED TO NOVA BIOMEDICAL THAT A CONSUMER RECEIVED A RESULT OF 514 MG/DL ON THEIR BLOOD GLUCOSE METER. THE CONSUMER IMMEDIATELY PERFORMED ANOTHER TEST USING THE SAME METER WITH A NEW VIAL OF NOVA TEST STRIPS GETTING A RESULT OF 183 MG/DL. THE DIFFERENCE IN THE READINGS WAS DETERMINED TO BE CLINICALLY SIGNIFICANT. THE TEST STRIPS IN QUESTION WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVA MAX GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORP. NA 1020208044

Patients

Seq Age Sex Outcome Treatment
1 UNK