FDA Adverse Event Malfunction Summary report: N

FREESTYLE

MDR report key: 1211286 · Received October 20, 2008

Report

Report Number
2954323-2008-02739
Event Type
Malfunction
Date Received
October 20, 2008
Date of Event
September 24, 2008
Report Date
October 20, 2008
Manufacturer
ABBOTT DIABETES CARE INC, USA
Product Code
LFR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NO INFORMATION

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITIAL REPORT. THE DEVICE HAS BEEN REQUESTED BACK FOR INVESTIGATION. A FINAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

CUSTOMER REPORTED RECEIVING AN INACCURATELY HIGH READING ON HIS FREESTYLE METER AS COMPARED TO A LABORATORY METER. CUSTOMER RECEIVED A READING OF 223 MG/DL COMPARED TO A LAB READING OF 100 MG/DL WITHIN A 10-MINUTE TIMEFRAME. ALL TESTS WERE PERFORMED ON THE FINGER. THE RESULTS WHEN PLOTTED ON A PARKES ERROR GRID FELL INTO THE "C" ZONE SHOWING THE DIFFERENCE IN VALUES TO BE CLINICALLY SIGNIFICANT. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FREESTYLE BLOOD GLUCOSE MONITORING SYSTEM LFR ABBOTT DIABETES CARE INC, USA NI 8017201

Patients

Seq Age Sex Outcome Treatment
1 NI