FDA Adverse Event
Malfunction
Summary report: N
FREESTYLE FLASH
MDR report key: 1810201
·
Received October 9, 2007
Report
- Report Number
- 2954323-2007-19010
- Event Type
- Malfunction
- Date Received
- October 9, 2007
- Date of Event
- September 7, 2007
- Report Date
- October 9, 2007
- Manufacturer
- ABBOTT DIABETES CARE INC, USA
- Product Code
- LFR
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- NO INFORMATION
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE CUSTOMER REPORTED AN ISSUE WITH THEIR METER WHICH SUGGESTS THE MEMORY OVERWRITE MALFUNCTION HAS OCCURRED. THE PRODUCT HAS BEEN REQUESTED FOR INVESTIGATION. A FOLLOW UP REPORT WILL BE SUBMITTED IF THE METER IS RETURNED. CUSTOMERS AND RETAILERS HAVE BEEN INFORMED THROUGH THE FA16MAY2006 LETTER.
Description of Event or Problem · 1
THE CUSTOMER REPORTED AN ISSUE WITH THEIR METER WHICH SUGGESTS THE MEMORY OVERWRITE MALFUNCTION HAS OCCURRED. CUSTOMER REPORTS SHE COULD NOT TEST WITH THEIR METER AND THAT SHE FELT HER BLOOD GLUCOSE LEVELS WERE LOW. THE CUSTOMER ALSO REPORTS THAT SHE EXPERIENCED SHAKINESS. CUSTOMER SELF-TREATED WITH CANDY, (B)(4) AND PROTEIN. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR THIRD PARTY MEDICAL INTERVENTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FREESTYLE FLASH | BLOOD GLUCOSE MONITORING SYSTEM | LFR | ABBOTT DIABETES CARE INC, USA | NI | 0526002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |