FDA Adverse Event Malfunction Summary report: N

SURESTEP

MDR report key: 272991 · Received April 4, 2000

Report

Report Number
2939301-2000-00238
Event Type
Malfunction
Date Received
April 4, 2000
Report Date
March 7, 2000
Manufacturer
LIFESCAN, INC.
Product Code
CGA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE RPTR STATED THAT RPTR DID BACK TO BACK BLOOD GLUCOSE TESTS, MINUTES APART. RPTR WAS USING THE SAME FINGERSTICK FOR RPTR'S FIRST TWO READINGS OF 172, 130 AND A NEW FINGERSTICK WITH A READING OF 96 MG/DL. RPTR DID NOT HAVE ANY SYMPTOMS. ON FOLLOWUP, THE RPTR STATED THAT RPTR MAY BE PUTTING TOO MUCH BLOOD ON THE TEST STRIP. NO HARM WAS ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURESTEP BLOOD GLUCOSE MONITORING KIT/SYSTEM CGA LIFESCAN, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 76 YR Other