FDA Adverse Event Malfunction Summary report: N

PRECISION XTRA /OPTIUM

MDR report key: 1161458 · Received September 12, 2008

Report

Report Number
2954323-2008-02544
Event Type
Malfunction
Date Received
September 12, 2008
Date of Event
August 14, 2008
Report Date
September 12, 2008
Manufacturer
ABBOTT DIABETES CARE INC, USA
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
NO INFORMATION

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER'S PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED IF THE METER IS RETURNED.

Description of Event or Problem · 1

A CUSTOMER REPORTED RECEIVING IMPRECISE READINGS ON THEIR BLOOD GLUCOSE METER WITHIN 10 MINUTES. RESULTS OF 1.3 MMOL/L AND 17.8 MMOL/L WERE PLOTTED ON A PARKES ERROR GRID AND FELL INTO THE "C" ZONE SHOWING THE DIFFERENCE IN VALUES TO BE CLINICALLY SIGNIFICANT. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRECISION XTRA /OPTIUM BLOOD GLUCOSE MONITORING SYSTEM NBW ABBOTT DIABETES CARE INC, USA NI UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NI