FDA Adverse Event
Injury
Summary report: N
SOFT ACT/SOFT-SENSE
MDR report key: 1080175
·
Received July 21, 2008
Report
- Report Number
- 2954323-2008-02290
- Event Type
- Injury
- Date Received
- July 21, 2008
- Date of Event
- June 17, 2008
- Report Date
- July 21, 2008
- Manufacturer
- ABBOTT DIABETES CARE INC, USA
- Product Code
- NBW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS IS AN INITIAL REPORT. THE PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. THE FOLLOW-UP REPORT WILL BE SENT WHEN INVESTIGATIONAL RESULTS ARE AVAILABLE.
Description of Event or Problem · 1
CUSTOMER REPORTED RECEIVING "EXTREMELY HIGH" READINGS ON HER SOFTAC METER AND EXPERIENCING HEADACHES, DIZZINESS, DIAPHORESIS, "BANGING INTO THE WALLS AND FOAMING FROM THE MOUTH". SHE DECLINED HAVING A SEIZURE BUT REPORTED LOSING CONSCIOUSNESS. THE CUSTOMER WAS TRANSPORTED TO A LOCAL HOSPITAL VIA PARAMEDICS AND STAYED INPATIENT FOR 5-DAY OBSERVATION. THE CUSTOMER REPORTED BEING DIAGNOSED WITH SEVERE HYPOGLYCEMIA AND TREATED WITH UNKNOWN INTRAVENOUS SOLUTION AND SUGAR WATER. THERE WAS NO REPORT OF DEATH OR PERMANENT IMPAIRMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SOFT ACT/SOFT-SENSE | BLOOD GLUCOSE MONITORING SYSTEM | NBW | ABBOTT DIABETES CARE INC, USA | NI | 30647 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | Required Intervention |