FDA Adverse Event Other Summary report: N

NOVA MAX GLUCOSE METER

MDR report key: 3810262 · Received April 29, 2014

Report

Report Number
3004193489-2014-00027
Event Type
Other
Date Received
April 29, 2014
Date of Event
April 14, 2014
Report Date
April 15, 2014
Manufacturer
NOVA BIOMEDICAL CORPORATION
Product Code
NBW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

TEST STRIP LOT # 1020214027 EXPIRATION DATE: 01/01/2016. 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

CONSUMER CALLED DUE TO REPORT, "I WAS RECEIVING A BG READING ON MY NOVA MAX METER THAT IS HIGHER THAN THE READING COMPARED TO A COMPETITOR'S METER." IT WAS REPORTED TO NOVA BIOMEDICAL THAT THE CONSUMER PERFORMED A BLOOD GLUCOSE TEST USING HIS NOVA MAX METER GETTING A RESULT OF 139 MG/DL THEN IMMEDIATELY PERFORMED A TEST ON HIS OTHER METER GETTING A RESULT OF 82 MD/DL. SUBSEQUENTLY, THE CONSUMER EXPERIENCED A HYPOGLYCEMIC EVENT, WHICH DID NOT REQUIRE MEDICAL INTERVENTION, BUT DID REQUIRE MEDICAL EMERGENT FOOD TO HELP RAISE HIS BLOOD GLUCOSE LEVEL. THE METER AND TEST STRIPS WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
256900 NOVA MAX GLUCOSE METER GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORPORATION NA 1020214027

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention