FDA Adverse Event Injury Summary report: N

HEMOCUE GLUCOSE 201 DM RT SYSTEM

MDR report key: 2103714 · Received May 23, 2011

Report

Report Number
3003044483-2011-00002
Event Type
Injury
Date Received
May 23, 2011
Date of Event
April 20, 2011
Report Date
May 23, 2011
Manufacturer
HEMOCUE AB
Product Code
LFR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE HEMOCUE GLUCOSE 201 DM RT SYSTEM IS NOT AVAILABLE ON THE UNITED STATES MARKET. HOWEVER, SIMILAR DEVICES ARE. THE REPORTED INCIDENT OCCURRED IN (B)(6). EVAL SUMMARY: NO MALFUNCTION COULD BE FOUND. DISCREPANT RESULT COULD NOT BE REPEATED.

Description of Event or Problem · 1

THE BLOOD GLUCOSE ON A (B)(6) CHILD HAS BEEN MEASURED WITH THE HEMOCUE GLUCOSE 201 DM RT SYSTEM USING A CAPILLARY SPECIMEN. THE VALUE WAS REPORTED TO 79 MG/DL PLASMA EQUIVALENT (=71.2 MG/DL WHOLE BLOOD). AT THAT TIME THE CHILD ALREADY SHOWED HYPOGLYCAEMIC SYMPTOMS, SO THE NURSE DECIDED TO TAKE A VENOUS SAMPLE. THE SAMPLE WAS SENT TO THE LAB AND ANALYZED WITH BIOSEN IN WHOLE BLOOD. THE RESULT WAS 39 MG/DL. THE CHILD, WHO HAD NOW ENTERED INTO COMA, WAS TREATED BASED ON THE LAB RESULT. THE PT RECOVERED WELL AND NO PERMANENT DAMAGE. THE HEMOCUE GLUCOSE 201 DM RT SYSTEM IS FOR PROFESSIONAL USE ONLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEMOCUE GLUCOSE 201 DM RT SYSTEM GLUCOSE TEST SYSTEM LFR HEMOCUE AB 1102904

Patients

Seq Age Sex Outcome Treatment
1 2 YR Other