BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDISENSE COMPANION 2 METER

    MDR report key: 60637 · Received September 30, 1996

    Report

    Report Number
    1220459-1996-00025
    Event Type
    Malfunction
    Date Received
    September 30, 1996
    Date of Event
    August 26, 1996
    Report Date
    August 26, 1996
    Manufacturer
    MEDISENSE, INC.
    Product Code
    CFR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ROUTINE COMPLAINT INVESTIGATION CONFIRMS A FALSELY HIGH TEST RESULT. ANALYSIS INDICATES THAT THERE IS A POSSIBILITY THAT THIS MALFUNCTION WERE IT TO RECUR FOR CERTAIN PTS UNDER CERTAIN CONDITIONS, COULD HAVE ADVERSE EFFECTS TO THE USER OF THE SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDISENSE COMPANION 2 METER BLOOD GLUCOSE MONITORING SYSTEM CFR MEDISENSE, INC. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Disability