FDA Adverse Event Injury Summary report: N

FREESTYLE NAVIGATOR

MDR report key: 1973369 · Received January 30, 2011

Report

Report Number
2954323-2011-01265
Event Type
Injury
Date Received
January 30, 2011
Date of Event
January 13, 2011
Report Date
March 4, 2011
Manufacturer
ABBOTT DIABETES CARE INC.
Product Code
LFR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NO
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS REQUESTED BACK FOR AN INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE ADDITIONAL INFORMATION IS OBTAINED. NOTE: THE DEVICE MANUFACTURE DATE IS UNKNOWN.

Additional Manufacturer Narrative · 1

THE FOLLOWING PRODUCTS WERE RETURNED: FREESTYLE NAVIGATOR RECEIVER SERIAL # (B)(4) AND TRANSMITTER # (B)(4). FREESTYLE NAVIGATOR RECEIVER PASSED THE AUTOMATED TEST. COMPLAINT WAS NOT CONFIRMED. CORRECTION: THE COUNTRY OF THE ORIGINAL REPORTER (E1) IS (B)(6) AND NOT (B)(6).

Description of Event or Problem · 1

A DIABETIC NURSE REPORTED THE CUSTOMER HAD A FREESTYLE NAVIGATOR SYSTEM AND THE ALARM FOR A LOW READING DID NOT SOUND DURING THE NIGHT. THE CUSTOMER WAS FOUND UNCONSCIOUS IN THE MORNING AND A RELATIVE CALLED THE AMBULANCE. THE PARAMEDICS TESTED THE CUSTOMER'S BLOOD GLUCOSE AND AFTER OBTAINING A READING OF 2.4 MMOL/L, THEY TREATED THE CUSTOMER WITH GLUCOSE INTRAVENOUSLY. THE CUSTOMER WAS NOT REPORTEDLY TRANSPORTED TO A HEALTH CARE FACILITY AND NO FURTHER INFORMATION ABOUT THE EVENT IS AVAILABLE. 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 NAVIGATOR CONTINUOUS GLUCOSE MONITORING SYSTEM LFR ABBOTT DIABETES CARE INC. AAAP251-80103

Patients

Seq Age Sex Outcome Treatment
1 Other| R