ALERE DLM PLATFORM DLM 110, DLMGA0013992K *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-11-24 for ALERE DLM PLATFORM DLM 110, DLMGA0013992K * manufactured by Alere Medical, Inc..

Event Text Entries

[340210] Reporter reported the electronic scale that is the essential part of the daylink monitor device was not accurate. They stated the scale was off by 11 lbs when used against their home scale which they calibrated by using a 5 lb. Bag of sugar. Reporter stated they reported this discrepancy to the manufacturing company. Reporter was returning the device to the company. Reporter concern was the wrong daily weight entered into the system by the daylink monitoring scale could result in the wrong info given to the doctor, who in turn, could prescribe the wrong follow-up treatment such as an increase in diuretics which could cause serious consequences when not needed. Pt suffers with chronic heart disease.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4003621
MDR Report Key500422
Date Received2003-11-24
Date of Report2003-09-22
Date Added to Maude2003-12-15
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameALERE
Generic NameDAYLINK MONITOR
Product CodeFRI
Date Received2003-11-24
Model NumberDLM PLATFORM DLM 110, DLMGA0013992K
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key489189
ManufacturerALERE MEDICAL, INC.
Manufacturer Address595 DOUBLE EAGLE COURT SUITE 1000 RENO NV 895212986 US


Patients

Patient NumberTreatmentOutcomeDate
10 2003-11-24

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