FDA Adverse Event Malfunction Summary report: N

NOVA MAX GLUCOSE MONITOR

MDR report key: 2062931 · Received March 18, 2011

Report

Report Number
3004193489-2011-00023
Event Type
Malfunction
Date Received
March 18, 2011
Date of Event
March 10, 2011
Report Date
March 18, 2011
Manufacturer
NOVA BIOMEDICAL CORP.
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVALUATION. SHOULD ANY SIGNIFICANT FINDINGS BE A RESULT OF THAT INVESTIGATION, A FOLLOW-UP REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED TO NOVA BIOMEDICAL THAT A CONSUMER'S BLOOD GLUCOSE METER IS MISSING THE FIRST AND SECOND DIGITS IN THE LCD SCREEN. THE METER IN QUESTION WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVA MAX GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORP. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK