BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1170819 · Received September 15, 2008

    Report

    Report Number
    1823260-2008-06905
    Event Type
    Malfunction
    Date Received
    September 15, 2008
    Date of Event
    September 5, 2008
    Report Date
    September 15, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Additional Manufacturer Narrative · 1

    THE MEDWATCH IS FOR THE SUSPECT DEVICE USED IN ADVANTAGE SYSTEM #2. PLEASE SEE MEDWATCH IS FOR SUSPECT DEVICE IN ADVANTAGE SYSTEM #1.

    Description of Event or Problem · 1

    CALLER REPORTS BACK TO BACK RESULTS OF 302MG/DL ON ADVANTAGE SYSTEM #1 COMPARED TO RESULTS OF 89MG/DL ON ADVANTAGE SYSTEM #2. NO QUALITY CONTROLS WERE RUN ON SYSTEM #2. NO ADVERSE EVENT 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 550775

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR TRAZODONE -"A NUMBER OF YRS"| LEVOTHYROXINE - OVER 1 YR| FUROSEMIDE -"A NUMBER OF YRS"| POTASSIUM -"A NUMBER OF YRS"| PREDNISONE - ABOUT 3 YRS| CAPTOPRIL - ABOUT 2 YRS| ZOCOR -"A NUMBER OF YRS"| GLYBURIDE 2-3 YRS| OXYCODONE - 2-3 YRS| MEXITIL ABOUT 6 MONTHS| BISOPROLOL ABOUT 6 MONTHS| SPRONOLACTONE - 6 MONTHS TO A YR| CELEXA - UNK| ASPIRIN -"A NUMBER OF YRS"