FDA Adverse Event Injury Summary report: N

FREESTYLE FLASH

MDR report key: 1161241 · Received September 10, 2008

Report

Report Number
2954323-2008-02531
Event Type
Injury
Date Received
September 10, 2008
Date of Event
August 3, 2008
Report Date
September 10, 2008
Manufacturer
ABBOTT DIABETES CARE INC, USA
Product Code
LFR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

CUSTOMER'S MOTHER REPORTED CUSTOMER RECEIVED LOW GLUCOSE READING (69 MG/DL) FROM THEIR FREESTYLE FLASH METER. CUSTOMER'S MOTHER REPORTED CUSTOMER EXPERIENCED SYMPTOMS OF THIRST, VOMITING, WEIGHT LOSS AND "SICK WITH KETONES". CUSTOMER WAS BROUGHT TO YALE NEW HAVEN HOSPITAL WHERE SHE WAS BEING DIAGNOSED WITH SEVERE HYPOGLYCEMIA AND TREATED WITH "ANTI-NAUSEA" MEDICATION, INTRAVENOUS SOLUTION AND ADJUSTMENT ON HER INSULIN MEDICATION.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization