BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1181682 · Received September 30, 2008

    Report

    Report Number
    1823260-2008-07265
    Event Type
    Malfunction
    Date Received
    September 30, 2008
    Date of Event
    September 25, 2008
    Report Date
    September 30, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTS BACK TO BACK TESTING ON THE SAME METER WHILE USING THE ADVANTAGE SYSTEM WITH RESULTS OF 41 MG/DL, 100 MG/DL AND 105 MG/DL. QUALITY CONTROLS WERE EXPIRED. 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 550612

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR ASPIRIN| PROTONIX| AVALIDE| LISINOPRIL| JANUVIA| NOVOLOG| TOPROL XL| ERGOCALCIFEROL| METOLAZONE| FUROSEMIDE| VYTORIN| PROCRIT INJECTION| LEVEMIR| XALATAN| ROCALTROL| E.S.TYLENOL