FDA Adverse Event Malfunction Summary report: N

NOVAMAX LINK GLUCOSE MONITOR

MDR report key: 3978876 · Received June 27, 2014

Report

Report Number
3004193489-2014-00053
Event Type
Malfunction
Date Received
June 27, 2014
Date of Event
June 20, 2014
Report Date
June 20, 2014
Manufacturer
NOVA BIOMEDICAL CORPORATION
Product Code
NBW
PMA / PMN Number
K040603
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

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

IT WAS REPORTED TO NOVA BIOMEDICAL THAT A CONSUMER'S BLOOD GLUCOSE METER WAS MISSING THE FIRST DIGIT IN THE LCD SCREEN. THE METER IN QUESTION WILL BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
377147 NOVAMAX LINK GLUCOSE MONITOR GLUCOSE MONITOR NBW NOVA BIOMEDICAL CORPORATION NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK