FDA Adverse Event Malfunction Summary report: N

CONTOUR® NEXT ONE

MDR report key: 18345095 · Received December 18, 2023

Report

Report Number
1810909-2023-00271
Event Type
Malfunction
Date Received
December 18, 2023
Date of Event
December 1, 2023
Report Date
April 18, 2025
Manufacturer
ASCENSIA DIABETES CARE US INC.
Product Code
NBW
PMA / PMN Number
K160682
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE PATIENT/FAMILY (A1) WAS THE INITIAL REPORTER (E1), SO PERSONAL INFORMATION WAS NOT ENTERED. NO INFORMATION WAS CAPTURED IN SECTION A4 AS THE CUSTOMER'S WEIGHT WAS NOT PROVIDED. THE DEVICE IDENTIFIER # IN SECTION D4 WAS LEFT BLANK AS IT COULD NOT BE DETERMINED BASED ON THE AVAILABLE MODEL #.

Additional Manufacturer Narrative · 0

THE CUSTOMER DID NOT RETURN THE DEVICE FOR EVALUATION. THEREFORE, A DEVICE HISTORY RECORD WAS REVIEWED FOR THE SUSPECTED CONTOUR NEXT ONE METER WITH SERIAL # 7870520 AND NO MANUFACTURING ANOMALIES WERE FOUND.

Additional Manufacturer Narrative · 0

UDI RELATED DATA QUALITY UPDATES ONLY: SECTIONS D1 (BRAND NAME) AND D4 (MODEL #, CATALOG # AND LOT #) HAVE BEEN UPDATED. THE CONTOUR® NEXT ONE METER DOES NOT HAVE AN EXPIRATION DATE. THEREFORE, NO INFORMATION WAS CAPTURED IN SECTION D4 (EXPIRATION DATE). THE WARRANTY PERIOD OF THE METER IS 5 YEARS FROM THE DATE OF THE ORIGINAL PURCHASE. SKU # 7826 OF THE CONTOUR® NEXT ONE METER IS ONLY AVAILABLE IN CANADA; THEREFORE, NO GUDID INFORMATION EXISTS AND THE UDI NUMBER IS NOT APPLICABLE.

Description of Event or Problem · 0

AN ADVOCATE FROM CANADA CALLED ON BEHALF OF THE CUSTOMER TO REPORT THAT THEIR BLOOD GLUCOSE READINGS WERE NOT BEING STORED IN THE MEMORY OF THE CONTOUR NEXT ONE METER. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT. THE ADVOCATE WAS ADVISED TO RETURN THE DEVICE FOR EVALUATION. REPLACEMENT METER KIT AND TEST STRIPS WERE SENT TO THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
68171 CONTOUR® NEXT ONE BLOOD GLUCOSE METER NBW ASCENSIA DIABETES CARE US INC. 7826 DM02S342P

Patients

Seq Age Sex Outcome Treatment
1 86 YR Male