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 |