FDA Adverse Event Other Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 1182451 · Received September 12, 2008

Report

Report Number
3004193489-2008-00557
Event Type
Other
Date Received
September 12, 2008
Date of Event
August 25, 2008
Report Date
September 12, 2008
Manufacturer
NOVA BIOMEDICAL CORP.
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, 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 194 MG/DL ON THEIR BLOOD GLUCOSE METER AT MIDNIGHT. THE CONSUMER ADMINISTERED 5 UNITS OF INSULIN VIA THE PUMP AND THEN WENT TO BED. APPROXIMATELY, 4:10AM THE CONSUMER'S SPOUSE NOTICED THE CONSUMER' BREATHING WAS STRANGE AND HE WAS UNRESPONSIVE WHEN SHE TRIED TO WAKE HIM. THE EMTS WERE CALLED AND WHEN THEY ARRIVED AT APPROXIMATELY AT 5:00AM THEY TESTED THE CONSUMER GETTING A RESULT OF 10 MG/DL ON THEIR GLUCOSE METER. THE CONSUMER WAS TREATED WITH GLUCOSE VIA IV FLUIDS, AND DECLINED TREATMENT AT THE HOSPITAL. 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. IT WAS ALSO REPORTED THAT THE CONSUMER IMPROPERLY STORES THEIR TEST STRIPS . THE CONSUMER WAS EDUCATED ON THESE DIRECTIONS FOR USE AT THE TIME OF CALL. THE TEST STRIPS IN QUESTION WILL NOT BE RETURNED FOR EVALUATION AS THE CONSUMER COMPLETED THE VIAL, HOWEVER, HE WILL RETURN A SECOND VIAL WITH THE SAME LOT NUMBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORP. NA 1020208091

Patients

Seq Age Sex Outcome Treatment
1 UNK