FDA Adverse Event Injury Summary report: N

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MDR report key: 4122639 · Received September 26, 2014

Report

Report Number
1826988-2014-00334
Event Type
Injury
Date Received
September 26, 2014
Date of Event
September 1, 2014
Report Date
September 5, 2014
Manufacturer
BAYER HEALTHCARE LLC
Product Code
NBW
PMA / PMN Number
K110894
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE CUSTOMER HAD AN INCIDENT WHERE SHE WAS STOPPED BY THE POLICE BECAUSE SHE WAS DRIVING ERRATICALLY. SHE WAS ALSO INCOHERENT. SHE TESTED HER BLOOD GLUCOSE ON THE CONTOUR NEXT LINK AND THE READING WAS 124MG/DL. THE POLICE REQUESTED AN AMBULANCE AND THE EMT RETESTED HER WITH ANOTHER METER. THE READING WAS 33MG/DL. CUSTOMER WAS GIVEN LIQUID GLUCOSE THREE TIMES AND THEN FELT BETTER. A REPLACEMENT METER WAS SENT TO HER. ONLY THE METER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
602023 CONTOUR NEXT LINK BLOOD GLUCOSE METER NBW BAYER HEALTHCARE LLC 9632

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention