MAUDE MDR 25341028

MDR report key
25341028
Report number
2954323-2026-101936
Event key
0
Event type
3
Date of event
2026-04-16
Date received
2026-05-31
Adverse event
1
Product problem
0
Patients in event
0
Reporter occupation
3
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
PATRICIA REIS CASTRO
Address
1360 SOUTH LOOP ROAD ALAMEDA CA 94502 US
Phone
415-415-4157
Report source
M

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
193110FREESTYLE LIBRE 3 PLUSCONTINUOUS GLUCOSE MONITORING SYSTEMABBOTT DIABETES CARE INCQBJ78768-01NN
288069FREESTYLE LIBRE 3 PLUSCONTINUOUS GLUCOSE MONITORING SYSTEMABBOTT DIABETES CARE INCQBJ78768-01NN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12026-05-310R

Event Narratives#

N

Patient 0

THE PRODUCT HAS BEEN REQUESTED BACK FOR INVESTIGATION AND THE CUSTOMER AGREED TO RETURN THE DEVICE. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF INVESTIGATION ACTIVITIES OR IF ADDITIONAL INFORMATION IS OBTAINED.

D

Patient 0

A BENT INSERTER NEEDLE WAS REPORTED WITH THE ABBOTT DIABETES CARE (ADC) DEVICE. IT WAS REPORTED THAT WHILE ATTEMPTING TO APPLY THE ADC DEVICE, IT WAS DISCOVERED THAT THE NEEDLE WAS BENT. DURING THE APPLICATION, A SMALL HOLE PUNCTURED THE CUSTOMER'S ARM AND A "TOUCH OF BLOOD" WAS VISIBLE. THE CUSTOMER'S SPOUSE THOUGHT THE NEEDLE WAS LEFT IN THE CUSTOMER'S SKIN THEREFORE, A TWEEZER WAS USED AND A "SMALL PIECE OF BLACK STRING" WAS PULLED OUT OF THE CUSTOMER'S ARM FOR TREATMENT INSTEAD OF A NEEDLE. THERE WAS NO REPORT OF DEATH OR PERMANENT INJURY ASSOCIATED WITH THIS EVENT.