FDA Adverse Event Malfunction Summary report: N

PRECISION XTRA/OPTIUM

MDR report key: 1800355 · Received September 28, 2007

Report

Report Number
2954323-2007-18264
Event Type
Malfunction
Date Received
September 28, 2007
Date of Event
August 30, 2007
Report Date
September 28, 2007
Manufacturer
ABBOTT DIABETES CARE LIMITED UK
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER'S PRODUCT HAS BEEN RETURNED FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE THE INVESTIGATION RESULTS ARE AVAILABLE.

Description of Event or Problem · 1

A CUSTOMER REPORTED RECEIVING ERRATIC READINGS ON PRECISION XTRA BLOOD GLUCOSE METER. CUSTOMER OBTAINED READINGS OF 40 MG/DL, 167 MG/DL, 186 MG/DL AND 191 MG/DL WITHIN A 10 MINUTE TIMEFRAME, AND THE TESTS WERE PERFORMED ON THE FINGER. WHEN PLOTTING THE READINGS AGAINST THE AVERAGE ON A PARKES ERROR GRID, THE RESULTS FELL IN THE "A", "B" AND "C" ZONES. THE "C" ZONE RESULT SHOWS THE DIFFERENCE IN READINGS TO BE CLINICALLY SIGNIFICANT. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRECISION XTRA/OPTIUM BLOOD GLUCOSE METER NBW ABBOTT DIABETES CARE LIMITED UK NA 401823

Patients

Seq Age Sex Outcome Treatment
1 NA