BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1172570 · Received September 19, 2008

    Report

    Report Number
    1823260-2008-07030
    Event Type
    Malfunction
    Date Received
    September 19, 2008
    Date of Event
    September 16, 2008
    Report Date
    September 19, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    LAY USER/PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTS BACK TO BACK TESTING ON THE SAME METER WHILE USING ADVANTAGE SYSTEM WITH RESULTS OF 341 MG/DL AND 110 MG/DL. NO QUALITY CONTROLS WERE RUN. 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 550609

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR BYETTA- 3 MONTHS| GLUCOVANCE- 5 YEARS| VASOTEC- 5 YEARS| ASPIRIN- 10 YEARS| LIPITOR- 3 YEARS| LANTUS- 2 YEARS