FDA Adverse Event Injury Summary report: N

FREESTYLE LIBRE 14 DAY

MDR report key: 13698760 · Received March 8, 2022

Report

Report Number
2954323-2022-07622
Event Type
Injury
Date Received
March 8, 2022
Date of Event
February 23, 2022
Report Date
November 8, 2022
Manufacturer
ABBOTT DIABETES CARE INC
Product Code
PZE
PMA / PMN Number
P160030
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT HAS BEEN REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE ADDITIONAL INFORMATION IS OBTAINED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

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 ON THE REPORTED COMPLAINT AND IT HAS BEEN DETERMINED THAT THERE WAS NO INDICATION THAT THE PRODUCT DID NOT MEET SPECIFICATIONS. DHRS FOR THE LIBRE READER WAS REVIEWED AND THE DHRS SHOWED LIBRE READER PASSED ALL TESTS PRIOR TO RELEASE. DHRS FOR THE PRECISION STRIPS WERE REVIEWED AND THE DHRS SHOWED THE PRECISION STRIPS PASSED ALL TESTS PRIOR TO RELEASE. RETAIN TESTING WAS PERFORMED FOR PRECISION STRIPS AND ALL UNITS PERFORMED IN THE SPECIFICATION AND PASSED. 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.

Additional Manufacturer Narrative · 0

THE REPORTED METER (B)(6) WAS RETURNED AND INVESTIGATED. VISUAL INSPECTION WAS PERFORMED ON THE RETURNED METER AND NO ISSUES WERE OBSERVED. CONTROL SOLUTION TESTING HAS BEEN PERFORMED WITH THE RETAIN STRIPS AND ALL RESULTS WERE SATISFACTORY. NO MALFUNCTION OR PRODUCT DEFICIENCY WAS IDENTIFIED. THEREFORE, THE ISSUE IS NOT CONFIRMED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 0

A TESTING ISSUE WAS REPORTED WITH THE ADC DEVICE. CUSTOMER REPORTED THE TEST DID NOT START AFTER THE BLOOD SAMPLE WAS APPLIED AND HE WAS UNABLE TO OBTAIN READINGS. AS A RESULT, CUSTOMER EXPERIENCED TREMORS, CONFUSION, BLURRED VISION, RESPIRATORY DIFFICULTIES AND WAS UNABLE TO SELF-TREAT. CUSTOMER FURTHER REPORTED RECEIVING THIRD-PARTY INTERVENTION WHO PROVIDED FOOD AS TREATMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Description of Event or Problem · 0

A TESTING ISSUE WAS REPORTED WITH THE ADC DEVICE. CUSTOMER REPORTED THE TEST DID NOT START AFTER THE BLOOD SAMPLE WAS APPLIED AND HE WAS UNABLE TO OBTAIN READINGS. AS A RESULT, CUSTOMER EXPERIENCED TREMORS, CONFUSION, BLURRED VISION, RESPIRATORY DIFFICULTIES AND WAS UNABLE TO SELF-TREAT. CUSTOMER FURTHER REPORTED RECEIVING THIRD-PARTY INTERVENTION WHO PROVIDED FOOD AS TREATMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Description of Event or Problem · 0

A TESTING ISSUE WAS REPORTED WITH THE ADC DEVICE. CUSTOMER REPORTED THE TEST DID NOT START AFTER THE BLOOD SAMPLE WAS APPLIED AND HE WAS UNABLE TO OBTAIN READINGS. AS A RESULT, CUSTOMER EXPERIENCED TREMORS, CONFUSION, BLURRED VISION, RESPIRATORY DIFFICULTIES AND WAS UNABLE TO SELF-TREAT. CUSTOMER FURTHER REPORTED RECEIVING THIRD-PARTY INTERVENTION WHO PROVIDED FOOD AS TREATMENT. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1325756 FREESTYLE LIBRE 14 DAY FLASH GLUCOSE MONITORING SYSTEM PZE ABBOTT DIABETES CARE INC 71940-01 4500184835

Patients

Seq Age Sex Outcome Treatment
1 Female Required Intervention