BEUDAMED
    FDA Adverse Event Death Summary report: N

    PRECISION EXTRA STRIPS

    MDR report key: 1970032 · Received January 19, 2011

    Report

    Report Number
    MW5019093
    Event Type
    Death
    Date Received
    January 19, 2011
    Date of Event
    September 20, 2010
    Report Date
    January 12, 2011
    Manufacturer
    ABOTT LAB
    Product Code
    NBW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    IN 2010, HER BLOOD GLUCOSE READING WAS 40S AND 50S IN THE MORNING AND 250, 300 AND ABOVE AND AS A RESULT SHE WAS USING EXTRA UNITS OF NOVOLOG AND NOVOLIPT, STATED THAT SHE STARTED USING PRECISION EXTRA STRIPS SINCE (B)(6). DOSE, FREQUENCY & ROUTE USED: USED 5 TO 7 TIMES DAILY. THERAPY DATES: (B)(6) THRU (B)(6) 2011.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISION EXTRA STRIPS TEST STRIPS NBW ABOTT LAB 45707

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Death| O| R