BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FREESTYLE TEST STRIPS 100'S

    MDR report key: 1981274 · Received February 2, 2011

    Report

    Report Number
    MW5019290
    Event Type
    Malfunction
    Date Received
    February 2, 2011
    Date of Event
    January 24, 2011
    Report Date
    January 24, 2011
    Manufacturer
    ABBOTT
    Product Code
    NBW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    THE PT STATES HE IS GETTING BLOOD SUGAR RESULTS THAT ARE 10-15 UNITS OFF FROM WHAT HE GOT USING THE OLD STRIP, USING ONE AFTER THE OTHER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FREESTYLE TEST STRIPS 100'S TEST STRIP NBW ABBOTT 1034017

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR