BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EXPRESSVIEW

    MDR report key: 468269 · Received June 24, 2003

    Report

    Report Number
    2031335-2003-00028
    Event Type
    Malfunction
    Date Received
    June 24, 2003
    Report Date
    June 11, 2003
    Manufacturer
    LXN CORP.
    Product Code
    CFR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PATIENT CALLED LXN IN 6/03 ALLEGING THE TEST SYSTEM WOULD NOT START WHEN APPLYING A BLOOD SAMPLE. THE PATIENT REPORTED NO SYMPTOMS. THE ISSUE WAS NOT RESOLVED WITH TROUBLESHOOTING. NO FURTHER INFORMATION HAS BEEN REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXPRESSVIEW BLOOD GLUCOSE MONITORING KIT/SYSTEM CFR LXN CORP. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN