FDA Adverse Event Malfunction Summary report: N

OT PING METER

MDR report key: 2933815 · Received January 29, 2013

Report

Report Number
3008382007-2013-01766
Event Type
Malfunction
Date Received
January 29, 2013
Date of Event
January 21, 2013
Report Date
January 28, 2013
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
PMA / PMN Number
K080639
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013, THE LAY USER/PATIENT IN (B)(6) CONTACTED LIFESCAN TO REPORT THE ONE TOUCH PING METER WAS GIVING INACCURATELY ERRATIC READINGS. THE SR. MEDICAL SURVEILLANCE SPECIALIST WAS ABLE TO CLASSIFY THE COMPLAINT BASED ON THE INFORMATION PROVIDED TO CUSTOMER SERVICE. ON (B)(6) 2013, THE PATIENT OBTAINED THE BLOOD GLUCOSE READINGS OF 3.9 MMOL/L AND 5.8 MMOL/L ON THE REPORTED METER WITHIN 20 MINUTES. AT THAT TIME, THE PATIENT EXPERIENCED THE SYMPTOMS OF HEADACHE AND IMPAIRED VISION. THE PATIENT ADMINISTERED SELF-TREATMENT BY CONSUMING FOOD; HE DID NOT SEEK ANY MEDICAL ATTENTION. TROUBLESHOOTING REVEALED THE TEST STRIPS WERE IN GOOD CONDITION AND WITHIN OPENED EXPIRATION DATING AND THE PATIENT'S TESTING TECHNIQUE WAS CORRECT. THE METER, TEST STRIPS AND CONTROL SOLUTION WERE REPLACED. THE PATIENT DID NOT SUFFER AN ADVERSE EVENT DUE TO THE REPORTED METER. THE PATIENT'S SYMPTOMS OCCURRED CONCURRENTLY WITH THE METER READINGS, AND HE DID NOT SEEK ANY MEDICAL ATTENTION. HOWEVER, AS THE TEST RESULTS FELL OUTSIDE EXPECTED VALUES FOR PRECISION TESTING, THIS COMPLAINT IS BEING REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
38628 OT PING METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL

Patients

Seq Age Sex Outcome Treatment
1 38 YR