FDA Adverse Event Malfunction Summary report: N

ONE TOUCH ULTRALINK METER

MDR report key: 1071482 · Received July 2, 2008

Report

Report Number
2939301-2008-01288
Event Type
Malfunction
Date Received
July 2, 2008
Report Date
June 16, 2008
Manufacturer
LIFESCAN, INC.
Product Code
NBW
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
LAY USER/PATIENT

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE LAY USER/REPORTER CONTACTED LIFESCAN ON BEHALF OF THE LAY-USER/PATIENT ALLEGING THAT THE PRODUCT HAD THE FOLLOWING PRODUCT CASING ISSUE: CRACKED DISPLAY. 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 2825935

Patients

Seq Age Sex Outcome Treatment
1