FDA Adverse Event Malfunction Summary report: N

ONE TOUCH PROFILE

MDR report key: 423488 · Received May 20, 2002

Report

Report Number
2939301-2002-06310
Event Type
Malfunction
Date Received
May 20, 2002
Report Date
May 12, 2002
Manufacturer
LIFESCAN, INC.
Product Code
CFR
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

A PT REPORTED EXPERIENCING INACCURATE HIGH RESULTS WITH A ONE TOUCH PROFILE METER. THE PT'S BLOOD GLUCOSE RESULTS WERE 330, 250, 229 AND 167MG/DL. TESTS WERE DONE WITHIN 10 MINS. PT IS USING EXPIRED CONTROL SOLUTION FOR TESTS. PT DID NOT EXPERIENCE ANY ADVERSE EVENTS. NO FURTHER INFO HAS BEEN REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 51 YR