FDA Adverse Event Malfunction Summary report: N

FREESTYLE FLASH

MDR report key: 1811662 · Received October 22, 2007

Report

Report Number
2954323-2007-20081
Event Type
Malfunction
Date Received
October 22, 2007
Date of Event
September 22, 2007
Report Date
October 22, 2007
Manufacturer
ABBOTT DIABETES CARE INC., USA
Product Code
LFR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER'S PRODUCT HAS BEEN REQUESTED BACK FOR INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE INVESTIGATION RESULTS ARE AVAILABLE. CUSTOMERS AND RETAILERS HAVE BEEN INFORMED THROUGH THE ADC 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 REPORTED EXPERIENCING SYMPTOMS OF HEADACHE. 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 FREESTYLE FLASH BLOOD GLUCOSE MONITORING SYSTEM LFR ABBOTT DIABETES CARE INC., USA NA 0601344

Patients

Seq Age Sex Outcome Treatment
1 UNK