FDA Adverse Event Malfunction Summary report: N

FREESTYLE LITE

MDR report key: 1083667 · Received July 22, 2008

Report

Report Number
2954323-2008-02304
Event Type
Malfunction
Date Received
July 22, 2008
Date of Event
June 27, 2008
Report Date
July 22, 2008
Manufacturer
ABBOTT DIABETES CARE INC, USA
Product Code
LFR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER'S PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE INVESTIGATION RESULTS ARE AVAILABLE.

Description of Event or Problem · 1

CUSTOMER REPORTED RECEIVING ERRATIC READINGS ON THEIR FREESTYLE LITE BLOOD GLUCOSE MONITOR. CUSTOMER REPORTED RECEIVING READINGS OF 16 MG/DL AND 151 MG/DL WITHIN 10 MINUTES. ALL TESTS WERE PERFORMED ON THE FINGER. THE RESULTS WHEN PLOTTED ON A PARKES ERROR GRID FELL INTO THE "C" ZONE SHOWING THE DIFFERENCE IN VALUES TO BE CLINICALLY SIGNIFICANT. IN ADDITION, CUSTOMER REPORTED EXPERIENCING SYMPTOM OF HEADACHE AND TOOK TYLENOL TO COUNTERACT HER SYMPTOM. NO THIRD PARTY MEDICAL INTERVENTION WAS REQUIRED. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT. NOTE: A BLOOD GLUCOSE READING BELOW 20 MG/DL WILL GIVE A REDING OF "LO" IN THE ADC METER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FREESTYLE LITE BLOOD GLUCOSE MONITORING SYSTEM LFR ABBOTT DIABETES CARE INC, USA NA 0728922

Patients

Seq Age Sex Outcome Treatment
1 UNK