FDA Adverse Event Other Summary report: N

GLUCOSTIK REAGENT STRIPS

MDR report key: 37468 · Received September 6, 1996

Report

Report Number
1810909-1996-00003
Event Type
Other
Date Received
September 6, 1996
Date of Event
March 26, 1996
Report Date
August 30, 1996
Manufacturer
BAYER CORP. BUSINESS GROUP DIAGNOSTICS
Product Code
CFR
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

A PT WAS IN A USUAL STATE OF HEALTH UNTIL 3/23/96. ON 3/24/96 HIS WIFE WAS NOT ABLE TO AROUSE HIM. AT THE HOSPITAL HIS TEMPERATURE WAS SLIGHTLY EVALUATED AND HIS BLOOD SUGAR WAS 1091 MG/DL. HE WAS ADMITTED TO THE HOSPITAL WITH HYPERSMOLAR SHOCK AND R/O SEPSIS. THE PT INDICATED THAT HE REDUCED THE AMOUNT OF INSULIN BASED ON THE CO METER 3 READINGS OF "LO" (LESS THAN 20 MG/DL). UPON INVESTIGATION IT WAS DISCOVERED THAT THE CUSTOMER WAS GIVEN DIFFERENT REAGENT STRIPS INSTEAD OF CORRECT REAGENT STRIPS. PRODUCT LABELING SPECIFIES THE ONLY SPECIFIED REAGENT TO BE USED WITH THE CO METER IS CO'S STRIPS. THE SCENARIO EXPERIENCED BY THE CUSTOMER HAS BEEN CONFIRMED BY THESE IN-HOUSE STUDIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GLUCOSTIK REAGENT STRIPS TEST FOR GLUCOSE IN WHOLE BLOOD CFR BAYER CORP. BUSINESS GROUP DIAGNOSTICS 2627 UNK

Patients

Seq Age Sex Outcome Treatment
1 55 YR Hospitalization| R