FDA Adverse Event Other Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 1884181 · Received October 15, 2010

Report

Report Number
3004193489-2010-00231
Event Type
Other
Date Received
October 15, 2010
Date of Event
October 5, 2010
Report Date
October 15, 2010
Manufacturer
NOVA BIOMEDICAL CORPORATION
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVAL. SHOULD ANY SIGNIFICANT FINDINGS BE A RESULT OF THAT INVESTIGATION, A F/U REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED TO NOVA BIOMEDICAL THAT A CONSUMER'S SPOUSE FOUND THE CONSUMER IN BED UNRESPONSIVE. HE TESTED THE CONSUMER GETTING A RESULT OF 297 MG/DL ON THEIR BLOOD GLUCOSE METER. THE CONSUMER'S SPOUSE ADMINISTERED 4.4 UNITS OF INSULIN BASED ON THAT RESULT. SUBSEQUENTLY, THE USER EXPERIENCED A HYPOGLYCEMIC EVENT REQUIRING MEDICAL INTERVENTION. WHEN THE EMT'S ARRIVED THEY TESTED THE CONSUMER USING THEIR UNK BLOOD GLUCOSE METER GETTING A RESULT OF "LO". CONSUMER WAS TRANSPORT TO ER FOR EMERGENT FOOT TREATMENT. DURING THE CALL TO CUSTOMER SUPPORT, IT WAS REVEALED THAT THE CONSUMER DOES NOT CONTROL SOLUTION TEST FOR INTEGRITY BEFORE THEIR INITIAL TEST STRIPS AS INSTRUCTED IN OUR DIRECTIONS FOR USE. THE CONSUMER WAS EDUCATED ON THESE DIRECTIONS FOR USE AT THE TIME OF THE CALL. THE METER AND TEST STRIPS WILL BE RETURNED FOR EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORPORATION NA 1020209082

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention