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 |