BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ASCENSIA CONTOUR

    MDR report key: 1163648 · Received September 9, 2008

    Report

    Report Number
    1826988-2008-00977
    Event Type
    Malfunction
    Date Received
    September 9, 2008
    Date of Event
    August 11, 2008
    Report Date
    August 11, 2008
    Manufacturer
    BAYER HEALTHCARE, LLC
    Product Code
    NBW
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER ALLEGED THAT HE PERFORMED A CONTROL TEST AND RECEIVED A RESULT OF 200 MG/DL. THE NORMAL CONTROL RANGE WAS 105-144 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE CUSTOMER HAD DISPOSED OF THE TEST STRIPS SO FURTHER TROUBLESHOOTING WAS NOT POSSIBLE. NO PRODUCT WILL BE RETURNED FOR EVALUATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENSIA CONTOUR BLOOD GLUCOSE METER NBW BAYER HEALTHCARE, LLC 7151B NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK