FDA Adverse Event Injury Summary report: N

FREESTYLE LIBRE 2

MDR report key: 11570910 · Received March 25, 2021

Report

Report Number
2954323-2021-64553
Event Type
Injury
Date Received
March 25, 2021
Date of Event
February 25, 2021
Report Date
June 25, 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 · 0

SENSOR 3MH002344Y0 HAS BEEN RETURNED AND INVESTIGATED. NO PHYSICAL DAMAGE WAS OBSERVED ON THE SENSOR PATCH. ADHESIVE WAS NOT RETURNED. NO MALFUNCTION OR PRODUCT DEFICIENCY WAS IDENTIFIED. THEREFORE, THE ISSUE IS NOT CONFIRMED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 0

A CUSTOMER EXPERIENCED A SKIN REACTION WHILE WEARING AN ADC FREESTYLE LIBRE 2 SENSOR AND OBSERVED REDNESS AND IRRITATION WITH A "CIRCLE" UPON REMOVAL OF THE SENSOR. CUSTOMER HAD CONTACT WITH A HEALTHCARE PROFESSIONAL AND WAS PRESCRIBED BUDESONIDE ALLERGY NASAL SPRAY FOR TREATMENT AND WAS ADVISED TO APPLY CAVILON SPRAY TO THE SENSOR SITE. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Additional Manufacturer Narrative · 1

AT THIS TIME PRODUCT HAS NOT YET BEEN RETURNED. AN EXTENDED INVESTIGATION HAS BEEN PERFORMED FOR THE REPORTED COMPLAINT. THERE WAS NO INDICATION THAT THE PRODUCT DID NOT MEET SPECIFICATION. THE REPORTED COMPLAINT IS RELATED TO SKIN IRRITATION OR AN ALLERGIC REACTION TO THE PATCH ADHESIVE OF THE FREESTYLE LIBRE SENSOR. DHRS (DEVICE HISTORY REVIEW) FOR THE FREESTYLE LIBRE SENSOR KIT WERE REVIEWED AND THE DHRS SHOWED THE FREESTYLE LIBRE SENSOR KIT PASSED ALL TESTS PRIOR TO RELEASE. DOSE AUDIT REPORTS WERE REVIEWED AND DEMONSTRATES THE CONTINUED EFFECTIVENESS OF THE ESTABLISHED STERILIZATION PROCESS FOR LIBRE SENSOR PRODUCTS. ENVIRONMENTAL MONITORING REPORTS WERE REVIEWED, INCLUDING BIOBURDEN AND ENDOTOXIN TESTING, AND DEMONSTRATED THAT ALL MONITORING PROCESSES CONTINUE TO MEET ADC MINIMUM REQUIREMENTS FOR PRODUCT QUALITY. IF THE PRODUCT IS RETURNED, A PHYSICAL INVESTIGATION WILL BE PERFORMED AND A FOLLOW-UP REPORT SUBMITTED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 1

A CUSTOMER EXPERIENCED A SKIN REACTION WHILE WEARING AN ADC FREESTYLE LIBRE 2 SENSOR AND OBSERVED REDNESS AND IRRITATION WITH A "CIRCLE" UPON REMOVAL OF THE SENSOR. CUSTOMER HAD CONTACT WITH A HEALTHCARE PROFESSIONAL AND WAS PRESCRIBED BUDESONIDE ALLERGY NASAL SPRAY FOR TREATMENT AND WAS ADVISED TO APPLY CAVILON SPRAY TO THE SENSOR SITE. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
464695 FREESTYLE LIBRE 2 FLASH GLUCOSE MONITORING SYSTEM QLG ABBOTT DIABETES CARE INC 71992-01

Patients

Seq Age Sex Outcome Treatment
1 42 YR Required Intervention