BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ASCENSIA CONTOUR

    MDR report key: 1163649 · Received September 9, 2008

    Report

    Report Number
    1826988-2008-00972
    Event Type
    Malfunction
    Date Received
    September 9, 2008
    Date of Event
    August 10, 2008
    Report Date
    August 10, 2008
    Manufacturer
    BAYER HEALTHCARE, LLC
    Product Code
    NBW
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER CALLED FOR HELP WITH HIS CONTOUR METER. WHILE TROUBLESHOOTING, HE PERFORMED CONTROL TESTS AND RECEIVED A RESULT OF "HI". THE NORMAL CONTROL RANGE WAS 105-145 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE CUSTOMER USED THE LAST OF THE SUSPECT TEST STRIPS WHILE TROUBLESHOOTING, SO NO PRODUCT WILL BE RETURNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENSIA CONTOUR BLOOD GLUCOSE METER NBW BAYER HEALTHCARE, LLC 9545C NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK