FDA Adverse Event Injury Summary report: N

ACCU-CHEK ADVANTAGE

MDR report key: 39758 · Received September 24, 1996

Report

Report Number
1823260-1996-00102
Event Type
Injury
Date Received
September 24, 1996
Date of Event
September 9, 1996
Report Date
September 18, 1996
Manufacturer
BOEHRINGER MANNHEIM CORP.
Product Code
CFR
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

SPOUSE OF ELDERLY DIABETIC REPORTED A HYPOGLYCEMIC EVENT WHICH LED TO HOSPITALIZATION OF THE DIABETIC. NO INFO WAS AVAILABLE ON THE TREATMENT REC'D. THE DEVICE HAD BEEN PROVIDING ELEVATED BLOOD VALUE PRIOR TO THE EVENT. AN ADD'L 5 UNITS OF INSULIN WAS ADMINISTERED IN THE EVENING PRIOR TO THE EVENT AS DIRECTED BY PHYSICIAN. THE DIABETIC HAD NOT BEEN STORING THE TEST STRIPS AS DIRECTED IN THE LABELING. QUALITY CONTROL CHECKS AFTER THE EVENT INDICATED THAT THE STRIPS WERE DAMAGED. LABELING CLEARLY INDICATES THAT UNUSUALLY HIGH RESULTS CAN BE CAUSED BY STORING THE STRIPS IN THE VIAL WITHOUT CAP BEING TIGHTLY SEALED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHEK ADVANTAGE BLOOD GLUCOSE MONITORING TEST STRIPS CFR BOEHRINGER MANNHEIM CORP. 768 (METER) 400275(STRIPS)

Patients

Seq Age Sex Outcome Treatment
1 79 YR Hospitalization