FDA Adverse Event Injury Summary report: N

ACCU-CHECK FLEXLINK PLUS INFUSION SETS

MDR report key: 2012143 · Received March 3, 2011

Report

Report Number
MW5019672
Event Type
Injury
Date Received
March 3, 2011
Report Date
March 3, 2011
Manufacturer
ROCHE
Product Code
LZG
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CO, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

IN (B)(6) 2010, I WAS SENT A NEW ORDER OF INFUSION SETS BY ROCHE INSULIN DELIVERY SYSTEMS. -AC FLEXLINK PLUS- WHICH WAS REPLACING THEIR ACCU-CHECK ULTRAFLEX. OVER THE PAST FEW YRS, I HAVE NOT HAD ANY INFUSION SET PROBLEMS AND MY A1C HAS BEEN AT THE 7.0 LEVEL. WHEN I STARTED WITH THE NEW INFUSION SETS, I BEGAN TO HAVE SEVERE PROBLEMS WITH MY BLOOD SUGARS LEVELS. I CALLED ROCHE AND EXPLAINED THE DIFFICULTIES. THEY GAVE ME INSTRUCTIONS OVER THE PHONE, BUT WAS NOT ANY DIFFERENT FROM WHAT I HAD BEEN DOING. I CONTINUED TO HAVE PROBLEMS, CHANGING THE INFUSION SET EVERY 2 INSTEAD OF 3 DAYS. THE TUBE THAT ENTERED MY SKIN WAS BENT ABOUT 90% OF THE TIME AND I WAS BECOMING VERY FRUSTRATED. I ALSO CALLED MY DIABETIC PHYSICIAN'S OFFICE TO SEE IF THEY HAD ANY SUGGESTIONS. I STARTED GIVING MYSELF ADDITIONAL SHOTS MANUALLY TO BRING DOWN MY ELEVATED SUGARS. MY SUGARS WENT INTO THE 500'S, WHICH HADN'T HAPPENED IN YRS. I STARTED THE PROCESS OF GETTING A NEW PUMP THINKING THAT IT WASN'T WORKING. I ORDERED ANOTHER BOX OF INFUSION SETS AND THEY SAID THAT THEY WERE BACKORDERED. I REQUESTED THE OLD INFUSION SETS, WHICH THEY WOULDN'T SEND BEFORE, BUT FOR SOME REASON THEY HAD THEM ON HAND AGAIN. SO, SINCE I HAVE BEEN USING THE NEW SETS, MY SUGARS HAVE RETURNED TO MY USUAL READINGS. I BASICALLY HAD 2 HORRIFIC MONTHS OF HIGH SUGARS WHICH COULD HAVE INCREASED MY CHANCES OF DIABETIC SIDE AFFECTS. MY A1C ROSE TO 8.2 WHICH I HAVEN'T SEEN IN YRS. I'M VERY NERVOUS ABOUT WHAT THIS HAS DONE TO MY LONG TERM HEALTH. I RECEIVED A NOTICE TODAY THAT THESE INFUSION SETS HAVE BEEN RECALLED-THANK YOU. THIS PROBLEM COSTS ME ADDITIONAL MONEY BECAUSE I USED MORE INFUSION SETS AND MANY MORE TEST STRIPS FOR THE BLOOD GLUCOSE METER, TRYING TO GET MY BLOOD SUGARS BACK TO NORMAL. DATES OF USE: (B)(6) 2010 - (B)(6) 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHECK FLEXLINK PLUS INFUSION SETS INFUSION SETS FOR INSULIN PUMP LZG ROCHE

Patients

Seq Age Sex Outcome Treatment
1 Other