FDA Adverse Event Injury Summary report: N

FREE STYLE LIBRE 2

MDR report key: 14676881 · Received June 10, 2022

Report

Report Number
MW5110276
Event Type
Injury
Date Received
June 10, 2022
Date of Event
June 7, 2022
Report Date
June 9, 2022
Manufacturer
ABBOTT DIABETES CARE INC.
Product Code
QLG
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IS
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND
Health Professional
*

Narratives

Description of Event or Problem · 0

I AM USING FREESTYLE LIBRE 2 (K193371). WHILE IT SUPPOSED TO HAVE ABOUT 20% ACCURACY FOR GLUCOSE MONITORING, I ENCOUNTERED A VERY DANGEROUS SITUATION WHEN RELYING ON IT'S READING SUGAR LEVEL. THERE WERE 2 MAIN CASES: 1. IN ONE OCCASION, MY FATHER WAS 10 HOURS FASTING BEFORE A BLOOD TEST IN THE EARLY MORNING. I CHECKED HIS SUGAR LEVEL WITH THE ABBOT MONITOR AND IT SHOWED 195 MG/DL AT 8:11, WHEN CHECKING WITH MY DAD WHY HE EAT, HE TOLD ME THAT BESIDE DRINKING WATER HE DIDN'T EAT ANYTHING. I CHECKED AGAIN AT 8:13 AND STILL THE SAME NUMBER 195 MG/DL. THEN I CHECKED WITH HIS ACCUE-CHECK GLUCOSE METER AND IN 2 DIFFERENT TESTS IN SEPARATE FINGERS IT SHOWED 100 MG/DL AND 98 MG/DL. LATER I CHECKED AGAIN IN THE ABBOT MONITOR AND IT SHOWED 184 MG/DL. I HAVE GOT NO INDICATION OR ALARM OF A WRONG OR UNRELIABLE TEST, JUST A NUMBER THAT WAS VERY "MISTAKABLY" WRONG AND DANGER, BECAUSE I WAS ABOUT TO GIVE HIM AMARYL MEDICATION IN ORDER TO REDUCE THE VERY HIGH GLUCOSE LEVEL I HAVE GOT FROM THE ABBOT MONITOR. I WANT TO MENTION THAT: A. THE ABBOT EQUIPMENT WAS ON THE APPROPRIATE PLACE AND CONDITION AND NOT LOCATED ON THE MUSCLE PLACE. B. MY FATHER ALMOST NOT MOVING AS A RESULT OF A BROKEN LEG (LYING MOST OF THE TIME); C. NO PRESSOR ON THE SENSOR AT ALL; D. HE WAS NOT EATING AT ALL, SO NO VITAMIN C OR OTHER STUFF SHOULD INFLUENCE. E. THE BLOOD TEST WAS LAB VALIDATED IN THE SAME MORNING AT 08:30 AND IT WAS "98.3 MG/DL F." THE ABBOT GLUCOSE MONITOR WAS APPROXIMATELY CORRELATED WITH THE EATING TIME OF MY FATHER MOST OF THE TIME IN THE 1 WEEK BEFORE AND JUST 5 DAYS FROM THE END OF 14 DAYS IT SHOWED MORE AND MORE ALARMS TO WAIT 10 MIN FOR GETTING THE READINGS 2. WHEN REPLACING THE ABBOT SENSOR WITH A FRESH NEW ONE, THE PROBLEM OCCURRED AGAIN , BUT IN THE OTHER WAY. NOW THE SENSOR READING WAS 73 MG/DL INSTEAD OF 194 MG/DL I RECEIVED IN THE ACCUE-CHECK (ALMOST 300% MISTAKE) THE TWO SENSORS, THE PICTURES AND VIDEOS I TOOK AND BLOOD TEST RESULT ARE IN MY POSITION NOW. SHOULD I SEND THEM BACK TO THE COMPANY OR LET THEM STAY WITH ME FOR YOUR INVESTIGATION? FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1688735 FREE STYLE LIBRE 2 INTEGRATED CONTINUOUS GLUCOSE MONITORING SYSTEM, FACTORY CALIBRATED, NOT FOR USE QLG ABBOTT DIABETES CARE INC.
1688736 FREE STYLE LIBRE 2 INTEGRATED CONTINUOUS GLUCOSE MONITORING SYSTEM, FACTORY CALIBRATED, NOT FOR USE QLG ABBOTT DIABETES CARE INC.

Patients

Seq Age Sex Outcome Treatment
1 79 YR Male Disability| L| R