FDA Adverse Event Injury Summary report: N

FREESTYLE LIBRELINK

MDR report key: 17765542 · Received September 18, 2023

Report

Report Number
2954323-2023-41031
Event Type
Injury
Date Received
September 18, 2023
Date of Event
September 7, 2023
Report Date
October 12, 2023
Manufacturer
ABBOTT DIABETES CARE INC
Product Code
PZE
PMA / PMN Number
P160030
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

AN EXTENDED INVESTIGATION HAS BEEN PERFORMED FOR THE REPORTED COMPLAINT AND IT HAS BEEN DETERMINED THAT THERE WERE NO ISSUES WITH THE LIBRELINK APPLICATION THAT WOULD HAVE LED TO THE COMPLAINT. THE USER REPORTED SIGNAL LOSS. SUCCESSFULLY STARTED LIBRE 2 SENSOR AND RECEIVED GLUCOSE READINGS AND ALARM NOTIFICATIONS USING A SIMILAR CONFIGURATION AND UNABLE TO REPRODUCE THE COMPLAINT. THEREFORE, THE ISSUE IS NOT CONFIRMED. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

EXTENDED INVESTIGATION IS PENDING AT THIS TIME. A FOLLOW UP WILL BE SUBMITTED ONCE ADDITIONAL INFORMATION IS OBTAINED. THE DEVICE MANUFACTURING DATE DOES NOT APPLY. THE DATE ENTERED IN SECTION H4 IS THE DATE ABBOTT DIABETES CARE BECAME AWARE OF THE EVENT. THE DEVICE MODEL NUMBER POPULATED IN SECTION D4 IS FOR THE FREESTYLE LIBRELINK IOS APPLICATION, ON MARKET IN THE UK. THIS IS SAME/SIMILAR TO US FREESTYLE LIBRELINK/FREESTYLE LIBRE 2 IOS APPLICATION PART NUMBER 71733-01/71926-01. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.

Description of Event or Problem · 0

A SIGNAL LOSS ISSUE WAS REPORTED WITH THE ADC DEVICE IN USE WITH IPHONE 12 PHONE, OS VERSION 16.6, APP VERSION 2.10.1.7653. CUSTOMER EXPERIENCED A SIGNAL LOSS AND WAS UNABLE TO RECEIVE GLUCOSE ALARMS. AS A RESULT, CUSTOMER WAS NOT ALERTED OF CHANGES IN GLUCOSE LEVEL AND EXPERIENCED LIGHTHEADEDNESS AND WAS UNABLE TO SELF-TREAT, REQUIRING TREATMENT OF ORAL GLUCOSE BY THIRD-PARTY. THERE WAS NO REPORT OF DEATH OR PERMANENT IMPAIRMENT ASSOCIATED WITH THIS EVENT.

Description of Event or Problem · 0

A SIGNAL LOSS ISSUE WAS REPORTED WITH THE ADC DEVICE IN USE WITH IPHONE 12 PHONE WITH IOS VERSION 16.6. CUSTOMER EXPERIENCED A SIGNAL LOSS AND WAS UNABLE TO RECEIVE GLUCOSE ALARMS. AS A RESULT, CUSTOMER WAS NOT ALERTED OF CHANGES IN GLUCOSE LEVEL AND EXPERIENCED LIGHTHEADEDNESS AND WAS UNABLE TO SELF-TREAT, REQUIRING TREATMENT OF ORAL GLUCOSE BY THIRD-PARTY. THERE WAS NO REPORT OF DEATH OR PERMANENT IMPAIRMENT ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1269135 FREESTYLE LIBRELINK DATA MANAGEMENT SYSTEM PZE ABBOTT DIABETES CARE INC 71892-01

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention