FDA Adverse Event
Malfunction
Summary report: N
CONTOUR
MDR report key: 2023796
·
Received February 15, 2011
Report
- Report Number
- 1826988-2011-00061
- Event Type
- Malfunction
- Date Received
- February 15, 2011
- Date of Event
- January 1, 2011
- Report Date
- January 31, 2011
- Manufacturer
- BAYER HEALTHCARE, LLC
- Product Code
- NBW
- PMA / PMN Number
- K062058
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE ADVOCATE ALLEGED THAT THE CUSTOMER WAS RECEIVING HIGH BLOOD GLUCOSE READINGS. THE ADVOCATE ALSO ALLEGED THAT A CONTROL TEST WAS PERFORMED USING THE CUSTOMER'S CONTOUR METER AND THE RESULT WAS 230 MG/DL. THE NORMAL CONTROL RANGE WAS 102-141 MG/DL. NO ADVERSE EVENTS WERE ALLEGED. THE ADVOCATE DECLINED TO TROUBLESHOOT OR RETURN PRODUCT BEFORE ENDING THE CALL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CONTOUR | NBW | BAYER HEALTHCARE, LLC | 9678 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |