FDA Adverse Event Injury Summary report: N

CONTOUR NEXT

MDR report key: 3162222 · Received June 11, 2013

Report

Report Number
1826988-2013-00287
Event Type
Injury
Date Received
June 11, 2013
Date of Event
May 16, 2013
Report Date
May 16, 2013
Manufacturer
BAYER HEALTHCARE LLC
Product Code
NBW
PMA / PMN Number
K111268
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IN SOME COUNTRIES OUTSIDE THE US, CUSTOMER INFORMATION, IS NOT PROVIDED DUE TO PRIVACY LAWS. THE MODEL # WAS NOT PROVIDED.

Description of Event or Problem · 1

A (B)(6) DOCTOR REPORTED THAT ONE OF HIS PATIENTS RECEIVED A BLOOD GLUCOSE READING OF 6.1MMOL/L ON THE CONTOUR XT, TOOK INSULIN ACCORDINGLY AND LOST CONSCIOUSNESS. NO ADDITIONAL DETAILS WERE PROVIDED REGARDING THE INCIDENT. IT WAS ASKED THAT THE TEST STRIPS BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
262034 CONTOUR NEXT BLOOD GLUCOSE TEST STRIPS NBW BAYER HEALTHCARE LLC 2FFEC04

Patients

Seq Age Sex Outcome Treatment
1