FDA Adverse Event
Malfunction
Summary report: N
CONTOUR NEXT LINK
MDR report key: 3964643
·
Received July 29, 2014
Report
- Report Number
- 1826988-2014-00253
- Event Type
- Malfunction
- Date Received
- July 29, 2014
- Date of Event
- July 1, 2014
- Report Date
- July 16, 2014
- Manufacturer
- BAYER HEALTHCARE LLC
- Product Code
- NBW
- PMA / PMN Number
- K110894
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE INITIAL REPORTER INFORMATION WAS NOT PROVIDED IN THE INITIAL REPORT.
Description of Event or Problem · 1
THE CUSTOMER TESTED HER BLOOD GLUCOSE USING 2 CONTOUR NEXT LINK METERS AND RECEIVED READINGS OF 200 AND 52MG/DL. THE DIFFERENCE BETWEEN THE READINGS FALLS IN THE "C" OR "D" ZONE OF THE CONSENSUS ERROR GRID, MAKING THE DIFFERENCE CLINICALLY SIGNIFICANT. NO EVIDENCE OF AN ADVERSE EVENT WAS ALLEGED. THE TEST STRIPS WERE DISCARDED. REPLACEMENT METER WAS SENT TO THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 441875 | CONTOUR NEXT LINK | BLOOD GLUCOSE METER | NBW | BAYER HEALTHCARE LLC | 9632 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |