FDA Adverse Event Malfunction Summary report: N

ACCU-CHEK ® AVIVA PLUS

MDR report key: 23093289 · Received September 19, 2025

Report

Report Number
3011393376-2025-00956
Event Type
Malfunction
Date Received
September 19, 2025
Date of Event
September 10, 2025
Report Date
November 26, 2025
Manufacturer
ROCHE DIABETES CARE, INC.
Product Code
LFR
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE EVENT OCCURRED OUTSIDE OF THE UNITED STATES. WHILE THIS PRODUCT IS NOT SOLD IN THE UNITED STATES, IT IS LIKE OR SIMILAR TO A PRODUCT MARKETED IN THE UNITED STATES.

Description of Event or Problem · 0

IT WAS REPORTED THE PATIENT RECEIVED THE FOLLOWING RESULTS WITHIN 15 MINUTES: 50 - 100 MG/DL WITH THE ACCU-CHEK AVIVA SYSTEM AND 170 - 187 MG/DL WITH A PROFESSIONAL METER. THE CUSTOMER COULD NOT PROVIDE MORE PRECISE RESULTS THAN THE MENTIONED RANGE. HE STATED THIS SAME ISSUE HAPPENED ON (B)(6) 2025, AROUND 7:00PM AS WELL AS ON (B)(6) 2025, AROUND 8:00PM. THE SAME ACCU-CHEK AVIVA TEST STRIPS LOT WAS USED FOR THE MEASUREMENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288260 ACCU-CHEK ® AVIVA PLUS BLOOD GLUCOSE MONITORING TEST STRIPS LFR ROCHE DIABETES CARE, INC. 690750

Patients

Seq Age Sex Outcome Treatment
1 86 YR Male