FDA Adverse Event Other Summary report: N

NOVA MAX GLUCOSE MONITOR

MDR report key: 1880459 · Received October 8, 2010

Report

Report Number
3004193489-2010-00226
Event Type
Other
Date Received
October 8, 2010
Date of Event
October 2, 2010
Report Date
October 8, 2010
Manufacturer
NOVA BIOMEDICAL CORP.
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVALUATION. SHOULD ANY SIGNIFICANT FINDINGS BE A RESULT OF THAT INVESTIGATION, A FOLLOW-UP REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED TO NOVA BIOMEDICAL THAT A CONSUMER CONTINUED TO ADMINISTER EXTRA UNPRESCRIBED ORAL MEDICATION BASED ON MULTIPLE HIGH READINGS ON THEIR BLOOD GLUCOSE METER. ACCORDING TO THE CONSUMER HE DID NOT EAT ANYTHING THROUGHOUT THE DAY. THE CONSUMER SUBSEQUENTLY EXPERIENCED A HYPOGLYCEMIC EVENT, WHICH DID REQUIRE EMERGENT FOOD INTAKE TO HELP RAISE THE CONSUMER BLOOD GLUCOSE LEVEL. DURING THE CALL TO CUSTOMER SUPPORT, IT WAS REVEALED THAT THE CONSUMER DOES NOT CONTROL SOLUTION TEST FOR INTEGRITY BEFORE USE THEIR INITIAL TEST STRIPS AS INSTRUCTED IN OUR DIRECTIONS FOR USE. THE CONSUMER WAS EDUCATED ON THESE DIRECTIONS FOR USE AT THE TIME OF CALL. THE METER AND TEST STRIPS WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVA MAX GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORP. NA 1020210174

Patients

Seq Age Sex Outcome Treatment
1 UNK