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 |