BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1770887 · Received November 12, 2007

    Report

    Report Number
    1823260-2007-09828
    Event Type
    Malfunction
    Date Received
    November 12, 2007
    Date of Event
    October 31, 2007
    Report Date
    November 12, 2007
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTEDLY OBTAINED RESULTS OF 467MG/DL AND 180MG/DL ON THE ADVANTAGE /VOICEMATE SYSTEM WITHIN 10 MINUTES. NO ACTIONS TAKEN ON DEVICE RESULTS. NO ADVERSE EVENT REPORTED. REQUESTED RETURN OF SUSPECT SYSTEM AND REPLACEMENT WAS SENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACCU-CHEK COMFORT CURVE TEST STRIPS BLOOD GLUCOSE MONITORING TEST STRIPS - LFR LFR ROCHE DIAGNOSTICS 549907

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR METFORMIN - 10 YRS - 1000MG/DAY| ATENOLOL - 25MG/DAY| GLIPIZIDE - 20MG/DAY| ENALAPRIL - 20MG/DAY| LIPITOR - 10MG/3DAYS/WEEK| PRANDIN - 1MG/DAY