FDA Adverse Event Other Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 2950429 · Received February 6, 2013

Report

Report Number
3004193489-2013-00008
Event Type
Other
Date Received
February 6, 2013
Date of Event
January 17, 2013
Report Date
February 5, 2013
Manufacturer
NOVA BIOMEDICAL CORP.
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NOVA BIOMEDICAL AWAITS THE RETURN OF THE DEVICE FOR EVALUATION. SHOULD ANY SIGNIFICANT FINDINGS BE A RESULT OF THAT INVESTIGATION, A FOLLOW-UP REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED TO NOVA BIOMEDICAL BY THE SPOUSE OF THE CONSUMER THAT HE EXPERIENCED A HYPOGLYCEMIC EVENT REQUIRING MEDICAL INTERVENTION. THE CONSUMER RECEIVED A BLOOD GLUCOSE RESULT OF 160 MG/DL AND WAS FOUND ACTING ODD AND SEIZURE-LIKE. THE EMTS WERE CALLED AND IT IS UNK IF ANY MEDICATION OR NUTRITION TOOK PLACE AFTER THIS RESULT. WHEN THE EMTS ARRIVED THEY TESTED THE CONSUMER GETTING A RESULT OF 17 MG/DL. THE CONSUMER'S SPOUSE DID NOT PROVIDE ANY FURTHER INFO REGARDING THIS EVENT. THIS IS BEING REPORTED AS AN ADVERSE EVENT UNDER THE FDA MEDWATCH REGULATIONS. THE METER AND TEST STRIPS WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
50677 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORP. NA 1020911227

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention