FDA Adverse Event
Injury
Summary report: N
ROCHE
MDR report key: 753403
·
Received August 9, 2006
Report
- Report Number
- MW1040006
- Event Type
- Injury
- Date Received
- August 9, 2006
- Report Date
- August 8, 2006
- Manufacturer
- ROCHE
- Product Code
- NBW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
IN MY COMMUNICATION I TRIED TO EXPLAIN EVENTS TAKING PLACE AND THE REASONS I BELIEVE OR SOME OF THEM WHY MY INSULIN IS BEING CONTAMINATED AND OTHER MEDICAL PRODUCTS AND OTHER CRIMES BEING COMMITTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ROCHE | ACCU-CHECK ADVANTAGE | NBW | ROCHE | CE 0088 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Life Threatening| O| S | HUMALOG INSULIN| LANTUS INSULIN |