BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECISION XTRA/OPTIUM

    MDR report key: 1811693 · Received October 23, 2007

    Report

    Report Number
    2954323-2007-20167
    Event Type
    Malfunction
    Date Received
    October 23, 2007
    Date of Event
    September 23, 2007
    Report Date
    October 23, 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). CUSTOMER RETURNED PRECISION XTRA BLOOD GLUCOSE METER (B)(4). CUSTOMER ORIGINALLY REPORTED A PRECISION XTRA BLOOD GLUCOSE METER (B)(4). ADDITIONALLY, TEST STRIPS WITH LOT NUMBER 41814 WERE RETURNED. THE COMPLAINT WAS NOT CONFIRMED AND NO NEW ISSUES WERE OBSERVED. ALL RESULTS WERE WITHIN RANGE SPECIFICATION AND NO ERRORS OR OTHER ISSUES WERE OBSERVED DURING CONTROL SOLUTION TESTING. THE PRECISION XTRA BLOOD GLUCOSE RESULTS AS REPORTED BY THE CUSTOMER COULD NOT BE IDENTIFIED IN THE METER'S MEMORY LOG AS THE DATE WAS SET INCORRECTLY.

    Description of Event or Problem · 1

    CUSTOMER REPORTED RECEIVING ERRATIC READINGS ON THEIR PRECISION XTRA BLOOD GLUCOSE METER. CUSTOMER REPORTED RECEIVING READINGS OF 497 MG/DL AND 64 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. 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 42012

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK