FDA Adverse Event
Malfunction
Summary report: N
FREESTYLE FREEDOM
MDR report key: 3060958
·
Received April 16, 2013
Report
- Report Number
- 2954323-2013-00226
- Event Type
- Malfunction
- Date Received
- April 16, 2013
- Date of Event
- March 25, 2013
- Report Date
- December 3, 2012
- Product Code
- NBW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION OF THE RETURNED PRODUCT DETERMINED THE CAUSE TO BE ISOLATED TO SOFTWARE CORRUPTION. ALTHOUGH GLUCOSE RESULTS MAY BE DELAYED, BLOOD GLUCOSE COULD BE DETERMINED BY ALTERNATE MEANS, INCLUDING USE OF ANOTHER BLOOD GLUCOSE METER, SEEING A PHYSICIAN (AS RECOMMENDED IN PRODUCT LABELING), OR BY SEEKING TREATMENT AT A HEALTH CARE FACILITY. (B)(4). ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT DIABETES CARE HAS BEEN SUBMITTED.
Description of Event or Problem · 1
CUSTOMER INITIALLY REPORTED HAVING A POWER ISSUE WITH THEIR ADC METER. THE PRODUCT WAS RETURNED AND INVESTIGATED. THIS MDR IS BEING SUBMITTED DUE TO RETURNED PRODUCT INVESTIGATION RESULTS. THERE WAS NO REPORT OF DEATH, SERIOUS INJURY OR MISTREATMENT ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 163143 | FREESTYLE FREEDOM | BLOOD GLUCOSE MONITORING SYSTEM | NBW |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |