FDA Adverse Event Other Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 1182450 · Received September 12, 2008

Report

Report Number
3004193489-2008-00558
Event Type
Other
Date Received
September 12, 2008
Date of Event
August 31, 2008
Report Date
September 12, 2008
Manufacturer
NOVA BIOMEDICAL CORPORATION
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVALUATION. SHOULD ANY SIGNIFICANT FINDINGS BE A RESULT OF THAT INVESTIGATION, A FOLLOW-UP REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED TO NOVA BIOMEDICAL THAT A CONSUMER RECEIVED A RESULT OF 578 MG/DL ON THEIR BLOOD GLUCOSE METER. THE CONSUMER'S MOM ADMINISTERED WITH UNKNOWN AMOUNT OF INSULIN. APPROXIMATELY TWENTY MINUTES LATER THE PARENT PERFORMED ANOTHER TEST ON THE CONSUMER GETTING A RESULT OF 565 MG/DL. THE CONSUMER'S PARENT DID NOT BELIEVE THAT READING TO BE ACCURATE. THE CONSUMER DID NOT EXPERIENCE A HYPOGLYCEMIC EVENT. THE CONSUMER'S PARENT GAVE THE CONSUMER FOOD AND SOMETHING TO DRINK TO OFFSET THE INSULIN ADMINISTERED. DURING THE CALL TO CUSTOMER SUPPORT, IT WAS REVEALED THAT THE CONSUMER DOES NOT CONTROL SOLUTION TEST THEIR TEST STRIPS BEFORE USE AS INSTRUCTED IN OUR DIRECTIONS FOR USE. THE CONSUMER WAS EDUCATED ON THESE DIRECTIONS FOR USE. THE METER AND THE TEST STRIPS IN QUESTION WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORPORATION NA 1020208042

Patients

Seq Age Sex Outcome Treatment
1 UNK