SUPREME METER SU100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-05-10 for SUPREME METER SU100 manufactured by Unknown.

Event Text Entries

[2535] Every morning i faithfully checked my blood with the supreme and every morning my wife and i were pleased to see that my blood sugar registered low. On 8/6 we left salt lake city and headed home. That morning when i checked my blood around 7:30 a. M. , the glucometer measured my blood sugar at 93. I still did not feel very well and after arriving home i went straight to the hospital. In the emergency room, the hospital technicians discovered my blood sugar to high to even measure. Later with another device, it registered in excess of 900. I was hospitalized and treated for ketosis. After being released i had a regular doctor's appointment in which iwas checked with the supreme device which registered at 92 while the clinic's instrument registered at 358. Had i relied on the supreme any longer, the outcome would have been fetaldevice not labeled for single use. Patient medical status prior to event: invalid data. Invalid data - regarding multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Invalid data - whether device used as labeled/intended. Invalid data - regarding evaluation by user after event. Method of evaluation: invalid data. Results of evaluation: invalid data. Conclusion: invalid data. Certainty of device as cause of or contributor to event: yes. Corrective actions: none or unknown. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2027787-1992-00004
MDR Report Key5893
Date Received1993-05-10
Date of Report1993-03-18
Date of Event1993-03-01
Report Date1993-03-18
Date Reported to FDA1993-03-18
Date Added to Maude1993-07-28
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationUNKNOWN
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSUPREME METER
Generic NameBLOOD GLUCOSE METER
Product CodeLHE
Date Received1993-05-10
Catalog NumberSU100
Device Availability*
Implant FlagN
Device Sequence No1
Device Event Key5591
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1993-05-10

© 2025 FDA.report
This site is not affiliated with or endorsed by the FDA.