BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1200133 · Received October 15, 2008

    Report

    Report Number
    1823260-2008-07635
    Event Type
    Malfunction
    Date Received
    October 15, 2008
    Date of Event
    October 4, 2008
    Report Date
    October 15, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    LAY USER/PATIENT

    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 58MG/DL AND 111MG/DL. CUSTOMER REPORTS SHE SELF TREATED AFTER TEST RESULT OF 58MG/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 550767

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR COREG CR - 3 MONTHS| BENADRYL - 1 MONTH| ALPRAZOLAM - 4 MONTHS| HYDRALAZINE - 2 MONTHS| RANITIDINE - 4 MONTHS| PLAVIX - 1 YEAR| TRIAMTERENE - 4 MONTHS| CLONIDINE - 5 MONTHS| GLIPIZIDE - 2 MONTHS| NEXIUM - 2 YEARS