FDA Adverse Event Injury Summary report: N

ONE TOUCH ULTRA

MDR report key: 389888 · Received March 27, 2002

Report

Report Number
2939301-2002-04382
Event Type
Injury
Date Received
March 27, 2002
Report Date
March 1, 2002
Manufacturer
LIFESCAN, INC.
Product Code
CFR
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
DE, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

A PATIENT REPORTED THEY WERE HOSPITALIZED. THEIR METER ALLEGEDLY WAS INACCURATELY LOW. THE RESULT ON THEIR METER WAS 14.2 MMOL/L. CUSTOMER READ RESULT AS 142 MG/DL. THE RESULT OF THE LAB WAS 430 MG/DL. THE TIME DIFFERENCE BETWEEN PATIENT'S METER AND LAB WAS 10 MINUTES. TREATMENT WAS MEDICATION FOR DIABETES. CUSTOMER HAD METER SET TO WRONG UNIT OF MEASUREMENT MMOL/L. NO FURTHER INFORMATION HAS BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ONE TOUCH ULTRA BLOOD GLUCOSE MONITORING KIT/SYSTEM CFR LIFESCAN, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 43 YR Hospitalization| R