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