FDA Adverse Event Injury Summary report: N

BREEZE2

MDR report key: 4251724 · Received November 14, 2014

Report

Report Number
1826988-2014-00417
Event Type
Injury
Date Received
November 14, 2014
Date of Event
October 29, 2014
Report Date
October 30, 2014
Manufacturer
BAYER HEALTHCARE LLC
Product Code
NBW
PMA / PMN Number
K062347
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
EMERGENCY MEDICAL TECHNICIAN

Narratives

Additional Manufacturer Narrative · 1

IN SOME COUNTRIES OUTSIDE THE US, CUSTOMER INFORMATION IS NOT PROVIDED DUE TO PRIVACY LAWS. THE SECOND BREEZE2 INFORMATION: MODEL 1447A, SERIAL (B)(4), MANUFACTURE DATE 08/24/2013

Description of Event or Problem · 1

AMBULANCE PERSONNEL FROM (B)(6) WERE TREATING A PATIENT IN VERY POOR CONDITION. THEY RAN BLOOD TESTS ON HIM USING TWO BREEZE2 METERS AND RECEIVED ONLY READINGS OF E9 AND E10. THE AMBULANCE NURSE GAVE THE PATIENT GLUCOSE, ASSUMING HE WAS HYPOGLYCEMIC. THE NURSE DID NOT REALIZE E10 WAS AN INDICATION THE BLOOD GLUCOSE LEVEL WAS GREATER THAN 83.2MMOL/L. HE WAS UNRESPONSIVE AND TAKEN TO ICU WHERE HE WAS TREATED FOR HYPERGLYCEMIA. THE NURSE DECLINED PRODUCT REPLACEMENT BECAUSE THE METERS CHECKED FINE AND IT WAS LATER CONFIRMED THE PATIENT'S BLOOD GLUCOSE WAS 98.8MMOL/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
738664 BREEZE2 BLOOD GLUCOSE METER NBW BAYER HEALTHCARE LLC 1447A

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R