FDA Adverse Event Malfunction Summary report: N

ACCU-CHEK AVIVA TEST STRIPS

MDR report key: 1181305 · Received September 23, 2008

Report

Report Number
1823260-2008-07104
Event Type
Malfunction
Date Received
September 23, 2008
Date of Event
August 31, 2008
Report Date
September 23, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
LFR
PMA / PMN Number
K043474
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
LAY USER/PATIENT

Narratives

Description of Event or Problem · 1

THE REPORTER STATED THAT THE ACCU-CHEK AVIVA STRIP EXPIRATION DATE IS "2009". THE ELECTRONIC INVENTORY SYSTEM EXPIRATION DATE FOR THE STRIPS IS 11/30/2009. BATCH RECORD VERIFICATION ALSO CONFIRMED THE EXPIRATION DATE AS 11/30/09. NO ACTIONS TAKEN OR TREATMENT GIVEN BASED ON EVENT. NO ADVERSE EVENT REPORTED. NEW STRIPS SENT AND RETURN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHEK AVIVA TEST STRIPS BLOOD GLUCOSE MONITORING TEST STRIPS- LFR LFR ROCHE DIAGNOSTICS 301358

Patients

Seq Age Sex Outcome Treatment
1 UNK