FDA Adverse Event Malfunction Summary report: N

GLUCOMMANDER, G+

MDR report key: 3101446 · Received April 30, 2013

Report

Report Number
3005853093-2013-00001
Event Type
Malfunction
Date Received
April 30, 2013
Date of Event
April 26, 2013
Report Date
April 30, 2013
Manufacturer
GLYTEC, LLC
Product Code
NDC
PMA / PMN Number
K101344
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS REMOTELY CHECKED BY GLYTEC TECHNICAL SUPPORT AND NO MALFUNCTION WAS OBSERVED. IT WAS SUBSEQUENTLY COMMUNICATED TO GLYTEC TECHNICAL SUPPORT THAT THE ALLEGED PROBLEM INVOLVED ONLY ONE UNIT IN THE HOSPITAL (DEVICE HAS BEEN INSTALLED IN (B)(4) UNITS OF HOSPITAL). AFTER RETRYING ACCESS WITH THE RN, THE DEVICE FUNCTIONED PROPERLY. TECHNICAL SUPPORT QUERIED IF THE CUSTOMER'S LOCAL IT HELP DESK HAD BEEN ADVISED OF THE PROBLEM AS IT WAS OCCURRING ON JUST ONE UNIT INDICATING A CUSTOMER HARDWARE PROBLEM.

Description of Event or Problem · 1

A HEALTH CARE PROFESSIONAL REPORTED DIFFICULTY OPERATING THE DEVICE AND ALLEGED A DEVICE MALFUNCTION. THE RN DESCRIBES A NUMBER OF ISSUES INCLUDING THE DEVICE IN ICU RED RECEIVING ALARMS FROM ALL OVER THE HOSPITAL AND SCREEN FREEZING STATING THIS IS PLACING PTS AT RISK DUE TO THE FACT THE RN IS NOT BEING NOTIFIED WHEN THE BG IS DUE. THE RN CITES FRUSTRATION WITH THE HOSPITAL MANAGEMENT ALLOWING USE OF THIS PRODUCT STATING IT IS A COMMON PROBLEM WITH OTHER DEVICES AT THE HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
188099 GLUCOMMANDER, G+ CLUCOMMANDER, G+ NDC GLYTEC, LLC NA NA

Patients

Seq Age Sex Outcome Treatment
1 NA Other