FDA Adverse Event Malfunction Summary report: N

PRECISION XTRA/OPTIUM

MDR report key: 1802648 · Received September 18, 2007

Report

Report Number
2954323-2007-17437
Event Type
Malfunction
Date Received
September 18, 2007
Date of Event
August 18, 2007
Report Date
September 18, 2007
Manufacturer
ABBOTT DIABETES CARE LIMITED UK
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

CUSTOMER REPORTED RECEIVING ERRATIC READINGS ON THEIR PRECISION XTRA BLOOD GLUCOSE METER. CUSTOMER REPORTED RECEIVING READINGS OF 67 MG/DL, 256 MG/DL, AND 258 MG/DL WITHIN 10 MINUTES. ALL TESTS WERE PERFORMED ON THE FINGER. THE RESULTS WHEN PLOTTED ON A PARKES ERROR GRID FELL INTO THE "C" ZONE SHOWING THE DIFFERENCE IN VALUES TO BE CLINICALLY SIGNIFICANT. THE CUSTOMER REPORTED DRINKING A LARGE AMOUNT OF ORANGE JUICE BASED ON READINGS OBTAINED, AND THEN REPORTED EXPERIENCING BLURRED VISION, AND "SMELLING KETONES ON THEIR BREATH". HOWEVER, THERE WAS NO REPORT OF DEATH OR SERIOUS INJURY 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 42081

Patients

Seq Age Sex Outcome Treatment
1 UNK