BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK ® AVIVA TEST STRIPS

    MDR report key: 2033600 · Received March 30, 2011

    Report

    Report Number
    1823260-2011-01702
    Event Type
    Malfunction
    Date Received
    March 30, 2011
    Date of Event
    March 21, 2011
    Report Date
    May 31, 2011
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K043474
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    IT WAS UNKNOWN IF THE INITIAL REPORTER SENT REPORT TO THE FDA.

    Description of Event or Problem · 1

    CUSTOMER REPORTEDLY RECEIVED RESULTS OF 350 MG/DL AND 130 MG/DL WITHIN 10 MINUTES ON THE AVIVA SYSTEM. NO ACTIONS TAKEN BASED ON DEVICE RESULTS. NO ADVERSE EVENT REPORTED. REQUESTED RETURN OF SUSPECT DEVICE AND REPLACEMENT WAS SENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACCU-CHEK ® AVIVA TEST STRIPS BLOOD GLUCOSE MONITORING TEST STRIPS LFR ROCHE DIAGNOSTICS NA 303180

    Patients

    Seq Age Sex Outcome Treatment
    1 082 YR CELEBREX ONCE DAILY| COREG ONCE DAILY| LANTUS| CRESTOR ONCE DAILY| METFORMIN| LISINOPRIL ONCE DAILY| VITAMIN B12 ONCE A MONTH| CQ10 ONCE DAILY| NOVOLOG