FDA Adverse Event Malfunction Summary report: N

CONTOUR® PLUS BLUE

MDR report key: 21596236 · Received March 13, 2025

Report

Report Number
1810909-2025-00048
Event Type
Malfunction
Date Received
March 13, 2025
Date of Event
February 21, 2025
Report Date
May 22, 2025
Manufacturer
ASCENSIA DIABETES CARE US INC.
Product Code
NBW
UDI-DI
05016003773600
PMA / PMN Number
K231679
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE PATIENT/FAMILY (A1) WAS THE INITIAL REPORTER (E1), SO PERSONAL INFORMATION WAS NOT ENTERED. NO INFORMATION WAS CAPTURED IN SECTIONS A2 AND A4 AS THE CUSTOMER'S AGE AND WEIGHT WERE NOT PROVIDED. THE CONTOUR® PLUS BLUE METER DOES NOT HAVE AN EXPIRATION DATE. THEREFORE, NO INFORMATION WAS CAPTURED IN SECTION D4 (EXPIRATION DATE). THE WARRANTY PERIOD OF THE METER IS 5 YEARS FROM THE DATE OF THE ORIGINAL PURCHASE. THE CONTOUR® PLUS BLUE METER WITH SKU # 7736 AND SERIAL # (B)(6) HAS THE 510K # K231679 AND UDI # (B)(4). THE DEVICE WAS DISTRIBUTED OUTSIDE THE US, THEREFORE, NO GUDID INFORMATION EXISTS.

Additional Manufacturer Narrative · 0

DESPITE THE FOLLOW-UP ATTEMPTS, THE CUSTOMER DID NOT RETURN THE DEVICE FOR EVALUATION. THEREFORE, A DEVICE HISTORY RECORD WAS REVIEWED FOR THE SUSPECTED CONTOUR® PLUS BLUE METER WITH SERIAL # (B)(6), AND NO MANUFACTURING ANOMALIES WERE FOUND.

Description of Event or Problem · 0

THE CUSTOMER FROM UNITED KINGDOM REPORTED THAT HER BLOOD GLUCOSE READINGS WERE NOT BEING STORED IN THE MEMORY OF THE CONTOUR® PLUS BLUE METER. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT. THE CUSTOMER WAS ADVISED TO RETURN THE DEVICE FOR EVALUATION. A REPLACEMENT METER KIT WAS SENT TO THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1700896 CONTOUR® PLUS BLUE BLOOD GLUCOSE METER NBW ASCENSIA DIABETES CARE US INC. 7736 DP07S179P 05016003773600

Patients

Seq Age Sex Outcome Treatment
1 NA Female