FDA Adverse Event Malfunction Summary report: N

CONTOUR

MDR report key: 1884684 · Received October 25, 2010

Report

Report Number
1826988-2010-00724
Event Type
Malfunction
Date Received
October 25, 2010
Date of Event
October 13, 2010
Report Date
October 13, 2010
Manufacturer
BAYER HEALTHCARE LLC
Product Code
NBW
PMA / PMN Number
K060470
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE ADVOCATE CALLED FOR HELP WITH THE CUSTOMER'S CONTOUR METER. SHE ALLEGED THE CUSTOMER PERFORMED CONTROL TESTS AND REC'D A RESULT OF 587 MG/DL. SHE PERFORMED 2 MORE CONTROL TESTS DURING THE CALL AND REC'D RESULTS OF 518 AND 391 MG/DL. THE NORMAL CONTROL RANGE WAS 107-147 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE ADVOCATE DECLINED TO RETURN THE TEST STRIPS FOR EVAL AND ENDED THE CALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CONTOUR NBW BAYER HEALTHCARE LLC 7151A NA

Patients

Seq Age Sex Outcome Treatment
1 UNK