FDA Adverse Event Malfunction Summary report: N

ONE TOUCH ULTRALINK METER

MDR report key: 1203706 · Received October 9, 2008

Report

Report Number
2939301-2008-02615
Event Type
Malfunction
Date Received
October 9, 2008
Report Date
October 6, 2008
Manufacturer
LIFESCAN, INC.
Product Code
NBW
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE LAY USER/PT CONTACTED LIFESCAN ALLEGING THAT THE PRODUCT WAS PROMPTING THE "ERROR 5" MESSAGE, WHICH WAS UNRESOLVED WITH TROUBLESHOOTING. THERE WERE NO ALLEGATIONS OF HARM OR INJURY. THE TEST STRIPS WERE REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ONE TOUCH ULTRALINK METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN, INC. NA 2828462

Patients

Seq Age Sex Outcome Treatment
1