FDA Adverse Event Malfunction Summary report: N

CONTOUR® NEXT

MDR report key: 22151847 · Received June 5, 2025

Report

Report Number
1810909-2025-00087
Event Type
Malfunction
Date Received
June 5, 2025
Date of Event
May 13, 2025
Report Date
December 19, 2025
Manufacturer
ASCENSIA DIABETES CARE US INC.
Product Code
NBW
UDI-DI
05016003730603
PMA / PMN Number
K210687
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
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 SECTION A4 AS THE CUSTOMER'S WEIGHT WAS NOT PROVIDED. THE CONTOUR® NEXT TEST STRIPS WITH SKU#: 7306A AND LOT#: 4DPEF01A HAS THE 510K# OF K210687 AND UDI (B)(4). THE DEVICE WAS DISTRIBUTED OUTSIDE THE US, THEREFORE, NO GUDID INFORMATION EXISTS.

Additional Manufacturer Narrative · 0

THE CUSTOMER RETURNED THE SUSPECTED CONTOUR® NEXT ONE METER (SERIAL # (B)(6)) FOR EVALUATION. NO TEST STRIPS WERE RETURNED. AN IN-HOUSE TESTING WAS PERFORMED WITH THE RETURNED METER AND IN-HOUSE CONTOUR® NEXT TEST STRIPS (LOT # 4DPEF01A) USING BLOOD SPIKED WITH GLUCOSE AT 131 MG/DL AND 68 MG/DL, AS DETERMINED BY YSI INSTRUMENT IN FIVE REPLICATES EACH. ALL TESTS RECOVERED WITHIN FIT-FOR-USE LIMITS.

Description of Event or Problem · 0

A CUSTOMER FROM (B)(6) REPORTED THAT SHE OBTAINED BLOOD GLUCOSE READINGS OF 19 MG/DL AT 9:06 A.M. AND 128 MG/DL AT 9:07 A.M. WITH THE CONTOUR® NEXT ONE METER. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT. THE CUSTOMER WAD 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
936604 CONTOUR® NEXT BLOOD GLUCOSE TEST STRIPS NBW ASCENSIA DIABETES CARE US INC. 7306A 4DPEF01A 05016003730603

Patients

Seq Age Sex Outcome Treatment
1 41 YR Female