FDA Adverse Event Other Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 1070685 · Received July 3, 2008

Report

Report Number
3004193489-2008-00486
Event Type
Other
Date Received
July 3, 2008
Date of Event
June 23, 2008
Report Date
July 3, 2008
Manufacturer
NOVA BIOMEDICAL CORPORATION
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVAL. 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 218 MG/DL ON THEIR BLOOD GLUCOSE METER AT 12:16AM. THE CONSUMER EXPERIENCED A HYPOGLYCEMIC EVENT WHICH REQUIRED MEDICAL INTERVENTION. THE EMTS TOOK THE CONSUMER'S BLOOD GLUCOSE AT 12:44 AM GETTING A RESULT OF 29 MG/DL USING THEIR UNK GLUCOSE METER. THE CONSUMER DECLINED TO GO TO THE HOSPITAL AND WAS TREATED WITH FOOD TO BRING HIS SUGAR LEVELS UP. THE DIFFERENCE IN THE READINGS WAS DETERMINED TO BE CLINICALLY SIGNIFICANT. THE METER IN QUESTION WILL BE RETURNED FOR EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORPORATION NA 1020207292

Patients

Seq Age Sex Outcome Treatment
1 UNK