FDA Adverse Event
Injury
Summary report: N
ASCENSIA CONTOUR
MDR report key: 1210279
·
Received October 20, 2008
Report
- Report Number
- 1826988-2008-01180
- Event Type
- Injury
- Date Received
- October 20, 2008
- Date of Event
- September 29, 2008
- Report Date
- September 29, 2008
- Manufacturer
- BAYER HEALTHCARE, LLC
- Product Code
- NBW
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER STATED THAT HE TESTED HIS BLOOD GLUCOSE USING HIS CONTOUR METER AND RECEIVED A READING OF 200 MG/DL. THE CUSTOMER INCREASED HIS INSULIN DOSAGE BASED ON THE READING AND THEN ALLEGED THAT HE WENT INTO A DIABETIC COMA. THE CUSTOMER DID NOT PROVIDE ANY MORE INFORMATION ABOUT THE EVENT. HIS METER AND TEST STRIPS ARE TO BE RETURNED FOR EVALUATION. REPLACEMENT PRODUCTS WERE SENT TO THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ASCENSIA CONTOUR | BLOOD GLUCOSE METER | NBW | BAYER HEALTHCARE, LLC | 7151B | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Required Intervention |