FDA Adverse Event Injury Summary report: N

ACCU-CHEK COMPACT PLUS

MDR report key: 1161202 · Received September 15, 2008

Report

Report Number
1823260-2008-06899
Event Type
Injury
Date Received
September 15, 2008
Date of Event
September 4, 2008
Report Date
September 15, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
NBW
PMA / PMN Number
K031755
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
LAY USER/PATIENT

Narratives

Description of Event or Problem · 1

REPORTER ALLEGED SHE COULDN'T TEST BECAUSE OF AN ERROR MESSAGE ON HER COMPACT PLUS DEVICE. REPORTER STATED THAT TWO HOURS AFTER HER LAST ATTEMPT TO TEST AND OBTAINING THE ERROR MESSAGE, HER VISITING NURSE CAME AND OBTAINED A RESULT OF 587 MG/DL ON HER DEVICE. REPORTER STATED 911 WAS CALLED, THE PARAMEDICS OBTAINED A HIGH READING, TREATED HER WITH AN INSULIN IV, AND TOOK HER TO THE HOSPITAL. REPORTER STATED THAT AT THE HOSPITAL, HER BLOOD GLUCOSE WAS AROUND 500 MG/DL AND THEY TREATED HER WITH AN INSULIN IV UNTIL SHE WAS RELEASED EARLY THE NEXT MORNING. NO OTHER ACTIONS WERE REPORTED TAKEN OR TREATMENT RECEIVED. A REQUEST WAS MADE FOR THE RETURN OF THE SUSPECT DEVICE AND REPLACEMENT PRODUCT WAS SENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHEK COMPACT PLUS BLOOD GLUCOSE MONITORING DEVICE - NBW NBW ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 49 YR Hospitalization| R HUMALOG - 1 YEAR - SLIDING SCALE| LANTUS 1 YEAR