BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FREESTYLE LIBRE 2

    MDR report key: 11302393 · Received February 9, 2021

    Report

    Report Number
    2954323-2021-03407
    Event Type
    Injury
    Date Received
    February 9, 2021
    Date of Event
    January 29, 2021
    Report Date
    February 9, 2021
    Manufacturer
    ABBOTT DIABETES CARE INC
    Product Code
    QLG
    PMA / PMN Number
    K193371
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 1

    ABBOTT DIABETES CARE PRODUCT QUALITY ENGINEERING (PQE) INVESTIGATED THE ALARM (SIGNAL LOSS ALARM) COMPLAINT. THE SERIAL NUMBER OF THE FREESTYLE LIBRE 2 SENSOR ASSOCIATED WITH THIS COMPLAINT IS UNKNOWN. DURING INVESTIGATION OF THE TRACK AND TREND REVIEW RELATED TO ALARM CASES IN (B)(6) 2020, THIS FAILURE MODE WAS IDENTIFIED AND IS A KNOWN MANUFACTURING ISSUE THAT IMPACTS LIBRE 2 SENSORS MANUFACTURED AT (B)(4) AS THE SERIAL NUMBER OF THE SENSOR ASSOCIATED WITH THIS COMPLAINT IS UNKNOWN, PQE IS UNABLE TO DETERMINE IF THE SENSOR IS IMPACTED BY THIS MANUFACTURING ISSUE. OUTSIDE OF THE KNOWN MANUFACTURING ISSUE, THE AVAILABLE TRIPPED TREND REPORTS FOR LIBRE 2 SENSOR AND ALARM HAVE BEEN REVIEWED. THE REVIEW DID NOT IDENTIFY ANY ADDITIONAL TRENDS THAT WOULD INDICATE A PRODUCT RELATED ISSUE RELATED TO THIS COMPLAINT. IF THE PRODUCT IS RETURNED, A PHYSICAL INVESTIGATION WILL BE PERFORMED AND A FOLLOW-UP REPORT SUBMITTED. THE DEVICE MFG DATE IS UNKNOWN. THE DATE ENTERED IS THE DATE ABBOTT DIABETES CARE BECAME AWARE OF THE EVENT. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

    Description of Event or Problem · 1

    A CUSTOMER REPORT THE ADC FREESTYLE LIBRE 2 SENSOR ALARM SYSTEM IS NOT WORKING PROPERLY AS THERE WAS NO ALARM SOUND. THE CUSTOMER EXPERIENCED SYMPTOMS OF TIREDNESS AND SEIZURE; HOWEVER, HE WAS ABLE TO SELF-TREAT WITH (B)(6) AND DID NOT REQUIRE THIRD-PARTY TREATMENT. NO FURTHER INFORMATION WAS PROVIDED. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    196706 FREESTYLE LIBRE 2 FLASH GLUCOSE MONITORING SYSTEM QLG ABBOTT DIABETES CARE INC 71992-01

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR