FDA Adverse Event
Malfunction
Summary report: N
CONTOUR TEST STRIPS (10)
MDR report key: 1212743
·
Received October 20, 2008
Report
- Report Number
- 1826988-2008-01195
- Event Type
- Malfunction
- Date Received
- October 20, 2008
- Date of Event
- October 1, 2008
- Report Date
- October 1, 2008
- Manufacturer
- BAYER HEALTHCARE, LLC.
- Product Code
- NBW
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER CALLED FOR HELP WITH HIS METER. WHILE TROUBLESHOOTING, HE PERFORMED CONTROL TESTS AND RECEIVED A RESULT OF 212 MG/DL. THE NORMAL CONTROL RANGE WAS 105-145 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE TEST STRIPS ARE TO BE RETURNED FOR EVALUATION. REPLACEMENT TEST STRIPS WERE SENT TO THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CONTOUR TEST STRIPS (10) | BLODO GLUCOSE TEST STRIPS | NBW | BAYER HEALTHCARE, LLC. | 9507C | 8BC3C51 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |