FDA Adverse Event Other Summary report: N

ELITE 4 DATE CANADA

MDR report key: 730926 · Received June 6, 2006

Report

Report Number
1826988-2006-00644
Event Type
Other
Date Received
June 6, 2006
Date of Event
May 19, 2006
Report Date
May 19, 2006
Manufacturer
BAYER HEALTHCARE, LLC
Product Code
NBW
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER PURCHASED CANADIAN METER AT U.S. RETAILER.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THE METER HAD BEEN GIVING READINGS OF 50 AND 42. WHILE TROUBLESHOOTING, IT WAS DISCOVERED THE METER WAS CANADIAN, AND WAS SET IN MMOL/L. THE CUSTOMER DID NOT ALLEGE ANY ADVERSE EVENTS DUE TO THE MMOL/L READINGS. THE CUSTOMER WAS GOING TO DISPOSE OF THE METER, AND A REPLACEMENT ELITE XL WAS TO BE SENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ELITE 4 DATE CANADA BLOOD GLUCOSE METER NBW BAYER HEALTHCARE, LLC 3888 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN