FDA Adverse Event Malfunction Summary report: N

ONE TOUCH ULTRALINK METER

MDR report key: 1162373 · Received September 9, 2008

Report

Report Number
2939301-2008-02101
Event Type
Malfunction
Date Received
September 9, 2008
Report Date
August 20, 2008
Manufacturer
LIFESCAN, INC.
Product Code
NBW
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
LAY USER/PATIENT

Narratives

Additional Manufacturer Narrative · 1

LIFESCAN HAS REQUESTED THE RETURN OF THE SUBJECT METER FOR EVALUATION, BUT HAS NOT YET RECEIVED IT. IF THE METER IS RETURNED, LIFESCAN WILL EVALUATE IT AND, IF THE METER DOES NOT PASS INSPECTION, LIFESCAN WILL INFORM FDA OF THE RESULTS IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE LAY USER/PATIENT CONTACTED LIFESCAN ALLEGING THAT THE PRODUCT HAD THE FOLLOWING UNRESOLVED BUTTONS/SCANNERS ISSUE: OK BUTTON, UP ARROW, AND DOWN ARROW BUTTONS NOT WORKING. THERE WERE NO ALLEGATIONS OF HARM OR INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ONE TOUCH ULTRALINK METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN, INC. NA 2835003

Patients

Seq Age Sex Outcome Treatment
1