BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE

    MDR report key: 776534 · Received August 28, 2006

    Report

    Report Number
    1823260-2006-04753
    Event Type
    Malfunction
    Date Received
    August 28, 2006
    Date of Event
    August 16, 2006
    Report Date
    August 16, 2006
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    CFR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    REPORTER ALLEGED BLOOD GLUCOSE MEASURED 368, 201, 194, AND 162 MG/DL WHEN ALL TESTS WERE PERFORMED WITHIN 2-3 MINUTES APART. NO ACTIONS WERE TAKEN OR TREATMENT RECEIVED REPORTEDLY AS A RESULT. A REQUEST WAS MADE FOR THE RETURN OF THE SUSPECT DEVICE AND REPLACMENT PRODUCT WAS SENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACCU-CHEK COMFORT CURVE BLOOD GLUCOSE MONITORING TEST STRIPS CFR ROCHE DIAGNOSTICS * 549078

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR TRAVATAN.| PROPOXYPHENE| TRUSOPT| FUROSEMIDE| CATAPRES| NORTRYPTOLINE| ACCU-CHEK COMFORT CURVE CONTROLS| ACCU-CHEK ADVANTAGE METER| METHOCARBAMOL| GLYBURIDE| PROTONIX| ALBUTEROL