FDA Adverse Event Malfunction Summary report: N

SOFTCLIX ® LANCET DEVICE

MDR report key: 23873468 · Received December 22, 2025

Report

Report Number
3011393376-2025-01199
Event Type
Malfunction
Date Received
December 22, 2025
Date of Event
December 13, 2025
Report Date
January 16, 2026
Manufacturer
ROCHE DIABETES CARE, INC.
Product Code
QRL
UDI-DI
04015630082209
PMA / PMN Number
K214022
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

CORRECTION - THE LANCET DEVICE LOT NUMBER, CATALOG NUMBER, UDI NUMBER, AND EXPIRATION DATE WERE UPDATED IN SECTION D BASED ON THE RETURNED PRODUCT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LANCET DID NOT RETRACT FROM THE LANCET DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2318731 SOFTCLIX ® LANCET DEVICE LANCET DEVICE QRL ROCHE DIABETES CARE, INC. BBJ123 04015630082209

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male "GLUCOCIDE"| METFORMIN