BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE

    MDR report key: 872131 · Received September 22, 2006

    Report

    Report Number
    1823260-2006-04989
    Event Type
    Malfunction
    Date Received
    September 22, 2006
    Date of Event
    September 7, 2006
    Report Date
    September 7, 2006
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    NBW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    REPORTER ALLEGED BLOOD GLUCOSE MEASURED 122, 321, AND 205 MG/DL, WHEN ALL TESTS WERE PERFORMED ONE IMMEDIATELY AFTER THE OTHER. NO ACTIONS WERE TAKEN OR TREATMENT RECEIVED REPORTEDLY AS A RESULT. A REQUEST WAS MADE FOR THE RETURN OF THE SUSPECT DEVICE AND REPLACEMENT PRODUCT WAS SENT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR METFORMIN| LIPTOR| ACCU-CHEK ADVANTAGE METER| CLONAZEPAM| TRAZODONE| ZOLOFT