BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1162183 · Received September 16, 2008

    Report

    Report Number
    1823260-2008-06908
    Event Type
    Malfunction
    Date Received
    September 16, 2008
    Date of Event
    September 8, 2008
    Report Date
    September 16, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CUSTOMER'S DAUGHTER REPORTS STRIP VIAL EXPIRATION DATE AS 11/30/2008. BATCH RECORD VERIFICATION VERIFIES STRIP EXPIRATION DATE AS 11/30/2006. NO ADVERSE EVENT WAS REPORTED. A REQUEST WAS MADE FOR RETURN OF THE SUSPECT PRODUCT AND A REPLACEMENT WAS SENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACCU-CHEK COMFORT CURVE TEST STRIPS BLOOD GLUCOSE MONITORING TEST STRIPS - LFR LFR ROCHE DIAGNOSTICS 548617

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR METOPROLOL| LEVOTHYROXINE| LOVASTATIN| FUROSEMIDE| LISINOPRIL