BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ASCENSIA BREEZE2 TEST STRIPS (30)

    MDR report key: 1220765 · Received October 31, 2008

    Report

    Report Number
    1826988-2008-01226
    Event Type
    Malfunction
    Date Received
    October 31, 2008
    Date of Event
    October 9, 2008
    Report Date
    October 9, 2008
    Manufacturer
    BAYER HEALTHCARE, LLC
    Product Code
    NBW
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER CALLED FOR HELP WITH HIS BREEZE 2 METER, WHILE TROUBLESHOOTING, HE PERFORMED A CONTROL TEST AND RECEIVED A RESULT OF 311 MG/DL. THE NORMAL CONTROL RANGE WAS 91-125 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 ASCENSIA BREEZE2 TEST STRIPS (30) BLOOD GLUCOSE TEST STRIPS NBW BAYER HEALTHCARE, LLC 9674 1A5324AA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK