FDA Adverse Event Other Summary report: N

ELITE 4 DATE CANADA

MDR report key: 730934 · Received June 6, 2006

Report

Report Number
1826988-2006-00643
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
NJ
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 CALLED FOR HELP WITH HER METER. WHILE TROUBLESHOOTING, IT WAS DISCOVERED THE METER WAS CANADIAN AND SET IN MMOL/L. THE CUSTOMER DID NOT ALLEGE ANY ADVERSE EVENTS DUE TO THE MMOL/L READINGS. THE METER WAS TO BE RETURNED FOR EVALUATION, AND AN ELITE XL WILL BE SENT TO THE CUSTOMER.

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