FDA Adverse Event Other Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 1884172 · Received October 13, 2010

Report

Report Number
3004193489-2010-00230
Event Type
Other
Date Received
October 13, 2010
Date of Event
September 25, 2010
Report Date
October 15, 2010
Manufacturer
NOVA BIOMEDICAL CORPORATION
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, 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 EXPERIENCED A HYPOGLYCEMIC EVENT REQUIRING EMERGENT FOOD INTAKE TO RAISE HER BLOOD SUGAR LEVEL. BLOOD TESTS PERFORMED WITH NOVA METER AND TEST STRIPS REVEALED THAT THE DEVICE GAVE LOW VALUES SHOWING OUR DEVICE PERFORMED AS INTENDED. THIS IS BEING REPORTED AS AN ADVERSE EVENT UNDER THE FDA MEDWATCH REGULATIONS. THE METER AND TEST STRIPS IN QUESTION WILL BE RETURNED FOR EVALUATION BECAUSE THIS IS A MEDWATCH REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORPORATION NA 1020209043

Patients

Seq Age Sex Outcome Treatment
1 UNK