FDA Adverse Event Malfunction Summary report: N

ACCU-CHEK ® FASTCLIX

MDR report key: 23343166 · Received October 20, 2025

Report

Report Number
3011393376-2025-01030
Event Type
Malfunction
Date Received
October 20, 2025
Date of Event
October 17, 2025
Report Date
November 20, 2025
Manufacturer
ROCHE DIABETES CARE, INC.
Product Code
QRL
UDI-DI
04015630065615
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

IN CHAPTER D, THE LOT NUMBER AND RELATED INFORMATION WAS UPDATED BASED ON THE RETURNED PRODUCT.

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 THAT THE LANCET PROTRUDES BEYOND THE END CAP OF THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
827377 ACCU-CHEK ® FASTCLIX LANCET DEVICE QRL ROCHE DIABETES CARE, INC. 33321014 04015630065615

Patients

Seq Age Sex Outcome Treatment
1 59 YR Female