BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1211379 · Received October 22, 2008

    Report

    Report Number
    1823260-2008-07803
    Event Type
    Malfunction
    Date Received
    October 22, 2008
    Date of Event
    September 16, 2008
    Report Date
    October 22, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    LAY USER/PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTS BACK TO BACK TESTING TO A PROFESSIONAL METER WHILE USING THE ADVANTAGE SYSTEM WITH RESULTS OF 290MG/DL ON CUSTOMER'S METER, 124MG/DL ON PROFESSIONAL METER, AND 157MG/DL ON THE CUSTOMER'S METER. NO QUALITY CONTROLS WERE RUN. NO ADVERSE EVENT REPORTED. CUSTOMER NO LONGER HAS STRIPS; 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

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR NOVOLIN N - 5 YEARS| NOVOLIN R - 5 YEARS