FDA Adverse Event Malfunction Summary report: N

OT PING METER

MDR report key: 2515427 · Received April 3, 2012

Report

Report Number
2939301-2012-03242
Event Type
Malfunction
Date Received
April 3, 2012
Report Date
March 20, 2012
Manufacturer
LIFESCAN INC.
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

THE 510(K) # IS K080639.

Description of Event or Problem · 1

ON (B)(6) 2012, THE REPORTER CONTACTED LIFESCAN ALLEGING THE METER HAD DATE/TIME ISSUES. THE ISSUE WAS NOT RESOLVED WITH TROUBLESHOOTING. REPLACEMENT PRODUCTS WERE SENT TO THE PATIENT. BASED ON CUSTOMER SERVICE INVESTIGATIONS, THIS COMPLAINT WAS INITIALLY RULED OUT BECAUSE THIS MALFUNCTION IS NOT CONSIDERED REPORTABLE AS LIFESCAN DOES NOT BELIEVE THE CHANCE THIS MALFUNCTION CAUSING OR CONTRIBUTING TO AN AE IS MORE THAN REMOTE AND HAS NOT REPORTED AN AE WHERE THIS MALFUNCTION MAY HAVE CAUSED OR CONTRIBUTED TO THE INJURY/DEATH. THERE WERE ALSO NO ALLEGATIONS OF HARM OR INJURY. ON (B)(4) 2012, LIFESCAN COMPLETED DEVICE EVALUATION WITH THE METER INVOLVED WITH THIS COMPLAINT. INVESTIGATION FOUND THAT THE BATTERIES VOLTAGE WAS LOW/DEAD. WHEN THE BATTERY WAS REPLACED, THE METER POWERED ON WITH A LINE THROUGH THE DISPLAY. THE LCD WAS REPLACED AND THE METER'S DATE WAS FOUND TO BE SET TO THE YEAR 2013. THE DATE/TIME ISSUE REMAINS NON REPORTABLE AS LIFESCAN (1) DOES NOT BELIEVE THE CHANCE THIS MALFUNCTION CAUSING OR CONTRIBUTING TO AN AE IS MORE THAN REMOTE AND (2) HAS NOT REPORTED AN AE WHERE THIS MALFUNCTION MAY HAVE CAUSED OR CONTRIBUTED TO THE INJURY/DEATH. HOWEVER, THIS COMPLAINT IS NOW BEING REPORTED DUE TO THE DEFECTIVE LCD ISSUE FOUND DURING INVESTIGATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OT PING METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN INC. 3230353

Patients

Seq Age Sex Outcome Treatment
1