FDA Adverse Event Summary report: N

QUICK CHECK ONE

MDR report key: 75614 · Received March 11, 1997

Report

Report Number
2027242-1997-90079
Date Received
March 11, 1997
Report Date
February 7, 1997
Manufacturer
DIAGNOSTIC SOLUTIONS, INC.
Product Code
CFR
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

THE PT REPORTED OUT OF THE RANGE NORMAL CONTROL SOLUTION TEST RESULTS WITH TEST STRIPS, LOT UNKNOWN. ON AN UNKNOWN DATE SOME TIME THIS MONTH, THE PT OPENED THE FIRST BOTTLE OF TEST STRIPS FROM THE BOX AND PERFORMED A NORMAL CONTROL SOLUTION TEST. SHE OBTAINED AN OUT OF RANGE CONTROL SOLUTION TEST RESULT (ON THE HIGH END OF THE RANGE, BUT SHE CANNOT REMEMBER THE SPECIFIC TEST RESULT). THE NORMAL CONTROL SOLUTION RANGE OF THE TEST STRIPS WAS 111-167 MG/DL. THE PT STATED THAT, BECAUSE OF THE OUT OF RANGE RESULT, SHE DISCARDED BOTH BOTTLES OF TEST STRIPS. THE CONTROL SOLUTION USED WAS "WITHIN EXPIRATION DATES" (BOTH USE LIFE AND SHELF LIFE EXPIRATION DATES). THE PT SHOOK THE CONTROL SOLUTION BEFORE SHE APPLIED THE SAMPLE. WITH THE REP, THE PT OBTAINED A CHECK STRIP TEST RESULT OF 92 VERSUS A CHECK STRIP RANGE OF 77-103. THE PT STORES THE TEST STRIPS IN HER BEDROOM. THE PT CANNOT RETURN THE TEST STRIPS TO CO BECAUSE THEY WERE DISCARDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 QUICK CHECK ONE BLOOD GLUCOSE TEST STRIPS FOR USE WITH ONT TOUCH METERS CFR DIAGNOSTIC SOLUTIONS, INC. * UNK

Patients

Seq Age Sex Outcome Treatment
1 *