FDA Adverse Event Injury Summary report: N

ON CALL EXPRESS BLOOD GLUCOSE METER

MDR report key: 18640484 · Received February 5, 2024

Report

Report Number
2531491-2024-00010
Event Type
Injury
Date Received
February 5, 2024
Date of Event
January 17, 2024
Report Date
February 2, 2024
Manufacturer
ACON LABORATORIES, INC.
Product Code
NBW
PMA / PMN Number
K132086
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

ACON WAS MADE AWARE OF THE COMPLAINT VIA CUSTOMER CALL ON JAN 17, 2024 REGARDING ACCIDENTAL INGESTION OF DESICCANT MATERIAL FROM THE REAGENT VIAL OF THE ON CALL EXPRESS (OCX) BLOOD GLUCOSE STRIP. THE CUSTOMER (REPORTER OF THE COMPLAINT) INFORMED ACON THAT THE INCIDENT PRODUCED MINOR SYMPTOMS DUE TO THE ACCIDENTAL INGESTION FROM THE OCX STRIP VIAL. THE INCIDENT WAS ATTRIBUTED TO CUSTOMER NOT FOLLOWING INTENDED USE OF THE DEVICE (I.E., USING THE REAGENT VIAL AS DRUG STORAGE CONTAINER). AS PER THE REPORT, THE ACCIDENTAL INGESTION DID NOT PRODUCE LONG TERM EFFECT, AND THE CUSTOMER HAS SINCE RECOVERED WHEN S/HE CONTACTED ACON. THE INCIDENT WILL BE RECORDED AND TRACKED INTERNALLY FOR ACON RECORDS. SHOULD NEW RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288912 ON CALL EXPRESS BLOOD GLUCOSE METER GLUCOSE TEST SYSTEM NBW ACON LABORATORIES, INC. NI NI

Patients

Seq Age Sex Outcome Treatment
1 NA Prefer Not To Disclose Other