FDA Adverse Event Malfunction Summary report: N

HEMOCUE GLUCOSE 201 DM SYSTEM

MDR report key: 8027935 · Received November 1, 2018

Report

Report Number
3003044483-2018-00004
Event Type
Malfunction
Date Received
November 1, 2018
Date of Event
October 2, 2018
Report Date
November 20, 2018
Manufacturer
HEMOCUE AB
Product Code
LFR
PMA / PMN Number
K041230
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DESPITE SEVERAL REMINDERS NO GOODS WERE SENT IN BY THE CUSTOMER AND THERE WAS NO RESPONSE TO QUESTIONS SENT BY HEMOCUE AB. SINCE THERE IS NO POSSIBILITY TO INVESTIGATE THE ACTUAL DEVICE, A DEVICE HISTORY RECORD CHECK WAS DONE FOR THE ANALYZER AND MICROCUVETTES, NOTHING RELATED TO THE CUSTOMER PROBLEM WAS FOUND. THE INVESTIGATION WAS DONE ON RETAINED MICROCUVETTES OF THE SAME BATCH AS THE CUSTOMERS, THE RESULT WERE ALL WELL WITHIN SPECIFICATION.

Description of Event or Problem · 1

HEMOCUE RECEIVED A COMPLAINT THAT THE ANALYZER DOES NOT CORRELATE WITH CHEMISTRY ANALYZER (SIEMENS OR STRIPMETER). RESULTS FROM TWO PATIENTS WERE RECEIVED, FOR BOTH PATIENTS IT SHOWED >100 MG/DL ON HEMOCUE AND <70 MG/DL ON LAB ANALYZER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
870245 HEMOCUE GLUCOSE 201 DM SYSTEM GLUCOSE TEST SYSTEM LFR HEMOCUE AB 121422

Patients

Seq Age Sex Outcome Treatment
1