FDA Adverse Event Injury Summary report: N

FREESTYLE LIBRE 2

MDR report key: 12707904 · Received October 27, 2021

Report

Report Number
2954323-2021-90288
Event Type
Injury
Date Received
October 27, 2021
Date of Event
September 30, 2021
Report Date
January 10, 2023
Manufacturer
ABBOTT DIABETES CARE INC
Product Code
QLG
PMA / PMN Number
K193371
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

REPEATED ATTEMPTS BY ADC TO RETRIEVE THE PRODUCT WERE UNSUCCESSFUL AND/OR THE CUSTOMER DISCARDED THE PRODUCT. NO PRODUCT HAS BEEN RETURNED. AN EXTENDED INVESTIGATION HAS BEEN PERFORMED FOR THE REPORTED COMPLAINT AND IT HAS BEEN DETERMINED THAT THERE WAS NO INDICATION THAT THE PRODUCT DID NOT MEET SPECIFICATIONS. DOSE AUDIT REPORTS WERE REVIEWED AND DEMONSTRATED THE CONTINUED EFFECTIVENESS OF THE ESTABLISHED STERILIZATION PROCESS FOR LIBRE SENSOR KITS. ENVIRONMENTAL MONITORING REPORTS WERE REVIEWED, INCLUDING BIOBURDEN AND ENDOTOXIN TESTING, AND DEMONSTRATED THAT ALL MONITORING PROCESSES CONTINUE TO MEET ADC REQUIREMENTS. DHRS FOR THE FS LIBRE SENSOR AND FS LIBRE SENSOR KIT WERE REVIEWED AND THE DHRS SHOWED THE FS LIBRE SENSOR AND SENSOR KIT PASSED ALL TESTS PRIOR TO RELEASE. IF THE PRODUCT IS RETURNED, THE CASE WILL BE RE-OPENED, AND A PHYSICAL INVESTIGATION WILL BE PERFORMED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.THIS SERVES AS A CORRECTION REPORT AS H10 IN THE PREVIOUS INITIAL MDR REPORT INADVERTENTLY DID NOT INCLUDE THE EXTENDED INVESTIGATION. H10 AND H6 HAVE BEEN UPDATED.

Additional Manufacturer Narrative · 0

THIS SERVES AS A CORRECTION REPORT. EMDR-241288 INADVERTENTLY DID NOT INCLUDE THE INVESTIGATION FINDINGS AND INVESTIGATION CONCLUSIONS CODES IN (H6 - ADVERSE EVENT PROBLEM). H6 HAS BEEN UPDATED TO REFLECT THE INVESTIGATION CODES AT THAT TIME.

Additional Manufacturer Narrative · 0

SENSOR (B)(6) HAS BEEN RETURNED AND INVESTIGATED. VISUAL INSPECTION HAS BEEN PERFORMED NO ISSUES WERE OBSERVED ON SENSOR PATCH. THEREFORE, ISSUE IS NOT CONFIRMED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 0

CUSTOMER REPORTED EXPERIENCING A SKIN REACTION WHILE WEARING AN ADC FREESTYLE LIBRE 2 SENSOR AND REPORTED OBSERVING INFLAMMATION AND "INFECTION AND THICKENING UNDER THE SENSOR" UPON SENSOR REMOVAL. CUSTOMER HAD CONTACT WITH A FAMILY DOCTOR AND WAS PRESCRIBED AN UNSPECIFIED OINTMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Description of Event or Problem · 0

CUSTOMER REPORTED EXPERIENCING A SKIN REACTION WHILE WEARING AN ADC FREESTYLE LIBRE 2 SENSOR AND REPORTED OBSERVING INFLAMMATION AND "INFECTION AND THICKENING UNDER THE SENSOR" UPON SENSOR REMOVAL. CUSTOMER HAD CONTACT WITH A FAMILY DOCTOR AND WAS PRESCRIBED AN UNSPECIFIED OINTMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Description of Event or Problem · 0

CUSTOMER REPORTED EXPERIENCING A SKIN REACTION WHILE WEARING AN ADC FREESTYLE LIBRE 2 SENSOR AND REPORTED OBSERVING INFLAMMATION AND "INFECTION AND THICKENING UNDER THE SENSOR" UPON SENSOR REMOVAL. CUSTOMER HAD CONTACT WITH A FAMILY DOCTOR AND WAS PRESCRIBED AN UNSPECIFIED OINTMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Additional Manufacturer Narrative · 1

THE PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE ADDITIONAL INFORMATION IS OBTAINED. THE DEVICE MFG DATE IS UNKNOWN. THE DATE ENTERED IS THE DATE ABBOTT DIABETES CARE BECAME AWARE OF THE EVENT. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 1

CUSTOMER REPORTED EXPERIENCING A SKIN REACTION WHILE WEARING AN ADC FREESTYLE LIBRE 2 SENSOR AND REPORTED OBSERVING INFLAMMATION AND "INFECTION AND THICKENING UNDER THE SENSOR" UPON SENSOR REMOVAL. CUSTOMER HAD CONTACT WITH A FAMILY DOCTOR AND WAS PRESCRIBED AN UNSPECIFIED OINTMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1605518 FREESTYLE LIBRE 2 FLASH GLUCOSE MONITORING SYSTEM QLG ABBOTT DIABETES CARE INC 71992-01

Patients

Seq Age Sex Outcome Treatment
1 Male Required Intervention