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 |