FDA Adverse Event Malfunction Summary report: N

AUTODISC 50 TEST STRIPS

MDR report key: 868958 · Received September 27, 2006

Report

Report Number
1826988-2006-01144
Event Type
Malfunction
Date Received
September 27, 2006
Date of Event
August 23, 2006
Report Date
August 23, 2006
Manufacturer
BAYER HEALTHCARE, LLC
Product Code
NBW
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE CONTACT CALLED BECAUSE THE CUSTOMER'S METER KEPT READING "LO". WHILE TROUBLESHOOTING, THE CONTACT PERFORMED 2 NORMAL CONTROL TESTS AND RECEIVED RESULTS OF "LO". THE NORMAL CONTROL RANGE IS 113-162 MG/DL. THE CONTACT DID NOT ALLEGE THE CUSTOMER EXPERIENCED ANY ADVERSE EVENTS. THE TEST STRIPS ARE TO BE RETURNED FOR EVALUATION, AND REPLACEMENT STRIPS WILL BE SENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AUTODISC 50 TEST STRIPS BLOOD GLUCOSE TEST STRIPS NBW BAYER HEALTHCARE, LLC 3622A AA3034AA

Patients

Seq Age Sex Outcome Treatment
1 YR