FDA Adverse Event Injury Summary report: N

FREESTYLE LITE

MDR report key: 1886328 · Received October 29, 2010

Report

Report Number
2954323-2010-01498
Event Type
Injury
Date Received
October 29, 2010
Date of Event
October 8, 2010
Report Date
October 29, 2010
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE METER ((B)(4) AND TEST STRIPS OF LOT # 1061013) WERE RETURNED FOR AN INVESTIGATION. THE COMPLAINT WAS NOT CONFIRMED. ALL RESULTS WERE WITHIN THE RANGE SPECIFICATION DURING CONTROL SOLUTION TESTING. THIS IS THE FINAL REPORT.

Description of Event or Problem · 1

A HEALTH CARE PROFESSIONAL REPORTED THAT THEIR FREESTYLE LITE BLOOD GLUCOSE METER WAS USED AT THE HOSPITAL TO DETERMINE THE BLOOD GLUCOSE LEVEL OF A NEWBORN PATIENT WHO WAS ALREADY IN THE HOSPITAL, AND THE READING OBTAINED ON THAT ADC METER WAS LOWER WHEN COMPARED TO A READING RECEIVED ON THEIR HEMOCUE DEVICE. AS A RESULT, THE NEWBORN PATIENT WAS REPORTEDLY MISTREATED WITH GLUCOSE 10 % INTRAVENOUS DRIP. THERE WAS NO REPORT OF SYMPTOMS, MEDICAL DIAGNOSIS, AND TREATMENT TO COUNTERACT THE EVENT. THERE WAS NO REPORT OF DEATH OR PERMANENT IMPAIRMENT ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FREESTYLE LITE BLOOD GLUCOSE MONITORING SYSTEM NBW 1061013

Patients

Seq Age Sex Outcome Treatment
1 Other