FDA Adverse Event Injury Summary report: N

OT SELECT SIMPLE METER

MDR report key: 8063266 · Received November 13, 2018

Report

Report Number
3008382007-2018-03121
Event Type
Injury
Date Received
November 13, 2018
Report Date
October 31, 2018
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
PYV
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
003

Narratives

Description of Event or Problem · 1

ON (B)(6) 2018, THE REPORTER CONTACTED LIFESCAN (LFS) (B)(4), ALLEGING THAT THE PATIENT¿S ONETOUCH SELECT SIMPLE METER WAS READING INACCURATELY HIGH COMPARED TO THEIR FEELINGS AND/OR NORMAL RESULTS. THE COMPLAINT WAS CLASSIFIED BASED ON CUSTOMER SERVICE REPRESENTATIVE (CSR) DOCUMENTATION. THE REPORTER STATED THAT THE METER ISSUE BEGAN APPROXIMATELY 5 DAYS PRIOR TO THEM CONTACTING LFS, ALLEGING THAT THE PATIENT OBTAINED INACCURATELY HIGH BLOOD GLUCOSE RESULTS OF ¿400, 450, 520 AND 480 MG/DL¿ ON THE SUBJECT METER. METER TO FEELINGS/NORMAL RESULTS COMPARISONS DO NOT MEET THE CRITERIA NECESSARY FOR LFS TO DETERMINE AN INACCURACY. THE REPORTER STATED THAT THE PATIENT MANAGES THEIR DIABETES USING INSULIN (SELF-ADJUSTER) AND IN RESPONSE TO THE ALLEGED ISSUE, THEY INCREASED THEIR NORMAL INSULIN DOSE FROM 16 UNITS TO 35 UNITS FOR 4 DAYS. THE REPORTER ALLEGED THAT APPROXIMATELY 4 DAYS AFTER THE ISSUE BEGAN, THE PATIENT DEVELOPED SYMPTOMS OF ¿DROWSY AND SLEEPY¿. THERE IS NO EVIDENCE THE PATIENT REQUIRED OR RECEIVED ANY TREATMENT IN RESPONSE TO THE SYMPTOMS. DURING TROUBLESHOOTING, THE CSR NOTED THAT THE SUBJECT METER WAS SET TO THE CORRECT UNIT OF MEASURE AND THE PATIENT DID NOT HAVE CONTROL SOLUTION. THE CSR ALSO NOTED THAT THE PATIENT¿S TEST STRIPS AND CONTROL SOLUTION, HAD BEEN STORED CORRECTLY, WERE WITHIN EXPIRY DATE. REPLACEMENT PRODUCTS WERE SENT TO THE PATIENT. THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT REPORTEDLY DEVELOPED SYMPTOMS OF A SERIOUS INJURY ADVERSE, WHILST USING THE PRODUCT. THERE IS INSUFFICIENT INFORMATION TO RULE OUT THE CONTRIBUTION OF THE SUBJECT METER TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
906412 OT SELECT SIMPLE METER GLUCOSE MONITORING SYS/KIT PYV LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL 4420762

Patients

Seq Age Sex Outcome Treatment
1