FDA Adverse Event Malfunction Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 1900531 · Received October 29, 2010

Report

Report Number
3004193489-2010-00244
Event Type
Malfunction
Date Received
October 29, 2010
Date of Event
October 25, 2010
Report Date
October 29, 2010
Manufacturer
NOVA BIOMEDICAL CORP
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVAL. SHOULD AN 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 RECEIVED A RESULT OF 254 MG/DL ON THEIR BLOOD GLUCOSE METER. THE CONSUMER IMMEDIATELY PERFORMED TWO ADDITIONAL TESTS USING THE SAME METER AND STRIPS GETTING THE FOLLOWING RESULTS OF 64 MG/DL AND 63 MG/DL. DURING THE CALL WITH CUSTOMER SUPPORT, A CONTROL SOLUTION TEST WAS PERFORMED SHOWING THE TEST STRIPS TO FALL IN RANGE. THE DIFFERENCE IN THE CONSUMER'S READINGS WAS DETERMINED TO BE CLINICALLY SIGNIFICANT. THE TEST STRIPS IN QUESTION 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 CORP NA 1020210202

Patients

Seq Age Sex Outcome Treatment
1 UNK