FDA Adverse Event Injury Summary report: N

ONE TOUCH ULTRAMINI METER

MDR report key: 1211556 · Received October 22, 2008

Report

Report Number
2939301-2008-02745
Event Type
Injury
Date Received
October 22, 2008
Date of Event
July 1, 2008
Report Date
October 15, 2008
Manufacturer
LIFESCAN, INC.
Product Code
NBW
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
LAY USER/PATIENT

Narratives

Additional Manufacturer Narrative · 1

LIFESCAN HAS REQUESTED THE RETURN OF THE SUBJECT METER AND STRIPS FOR EVALUATION, BUT HAS NOT YET RECEIVED THEM. IF EITHER THE METER OR STRIPS ARE RETURNED, LIFESCAN WILL EVALUATE IT/THEM AND, IF EITHER THE METER OR STRIPS DO NOT PASS INSPECTION, LIFESCAN WILL INFORM FDA OF THE RESULTS IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE LAY USER/PATIENT CONTACTED LIFESCAN (LFS) IN 2008 ALLEGING THAT THE ONE TOUCH ULTRAMINI METER WOULD NOT TURN ON. THE MEDICAL AFFAIRS SPECIALIST (MAS) WAS ABLE TO CORRESPOND WITH THE PATIENT BY TELEPHONE ON OCTOBER 20, 2008 AND CLASSIFIED THE COMPLAINT BASED ON THE FOLLOWING INFORMATION RECEIVED FROM THE CUSTOMER. THE PATIENT TESTS HER BLOOD GLUCOSE ONCE A DAY AND SHE MANAGES HER DIABETES VIA GLYBURIDE TWICE DAILY. THE PATIENT STATED THAT THE ALLEGED ISSUE BEGAN IN THE FIRST OR SECOND WEEK OF APPROX THREE MONTHS EARLIER (DATE AND TIME NOT SPECIFIED). DURING THAT TIME, THE SUBJECT METER STOPPED WORKING AND THE PATIENT REPORTEDLY THREW THE METER AWAY. FOLLOWING THE REPORTED ISSUE, SHE DID NOT MAKE ANY CHANGES TO HER DIABETIC MEDICATIONS, BUT STATED THAT SHE CONTROLLED HER DIET MORE STRICTLY AND SOMETIMES SKIPPED HER MEALS. ON AN UNKNOWN DAY IN THE MORNING, 2 TO 3 DAYS AFTER THE SUBJECT METER STOPPED WORKING, SHE REPORTEDLY EXPERIENCED "SWEATING" AND "FELT LIKE PASSING OUT." DURING HER SYMPTOMS, SHE REPORTEDLY OBTAINED A READING OF "50 MG/DL" ON HER MOTHER'S ONE TOUCH ULTRA METER. SHE REPORTEDLY DRANK ORANGE JUICE WITH SUGAR AND FELT BETTER WITHIN 10 MINUTES. SHE DID NOT SEEK ANY MEDICAL ATTENTION. THE PATIENT'S PRODUCTS WERE REPLACED. BASED ON THE PROVIDED INFORMATION, THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT ALLEGEDLY DEVELOPED SYMPTOMS THAT CAN BE ASSOCIATED WITH HYPOGLYCEMIA, AFTER THE SUBJECT METE REPORTEDLY STOPPED WORKING.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 44 YR Life Threatening