FDA Adverse Event
Malfunction
Summary report: N
FREESTYLE
MDR report key: 1180837
·
Received September 23, 2008
Report
- Report Number
- 2954323-2008-02606
- Event Type
- Malfunction
- Date Received
- September 23, 2008
- Date of Event
- August 29, 2008
- Report Date
- September 23, 2008
- Manufacturer
- ABBOTT DIABETES CARE INC, USA.
- Product Code
- LFR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE CUSTOMER'S PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE INVESTIGATION RESULTS ARE AVAILABLE.
Description of Event or Problem · 1
CUSTOMER REPORTED RECEIVING ERRATIC READINGS ON THEIR BLOOD GLUCOSE MONITOR WITHIN 10 MINS. RESULTS OF 344 MG/DL, 227 MG/DL, 99 MG/DL, 205 MG/DL, AND 209 MG/DL WERE PLOTTED ON A PARKES ERROR GRID. THE RESULTS FELL INTO THE "C" ZONES SHOWING THE DIFFERENCE IN VALUES TO BE CLINICALLY SIGNIFICANT. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FREESTYLE | BLOOD GLUCOSE MONTIORING SYSTEM | LFR | ABBOTT DIABETES CARE INC, USA. | NA | 0811437 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |