MAUDE MDR 8063266

MDR report key
8063266
Report number
3008382007-2018-03121
Event key
0
Event type
3
Date received
2018-11-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MARIANO CHIUSANO
Address
GUBELSTRASSE 34 ZUG 6300 SZ
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1OT SELECT SIMPLE METERGLUCOSE MONITORING SYS/KITLIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTLPYV4420762R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-11-130

Event Narratives#

D

Patient 1

ON (B)(6) 2018, THE REPORTER CONTACTED LIFESCAN (LFS) (B)(4), ALLEGING THAT THE PATIENT?S ONETOUCH SELECT SIMPLE METER WAS READING INACCURATELY HIGH COMPARED TO THEIR FEELINGS AND/OR NORMAL RESULTS. THE COMPLAINT WAS CLASSIFIED BASED ON CUSTOMER SERVICE REPRESENTATIVE (CSR) DOCUMENTATION. THE REPORTER STATED THAT THE METER ISSUE BEGAN APPROXIMATELY 5 DAYS PRIOR TO THEM CONTACTING LFS, ALLEGING THAT THE PATIENT OBTAINED INACCURATELY HIGH BLOOD GLUCOSE RESULTS OF ?400, 450, 520 AND 480 MG/DL? ON THE SUBJECT METER. METER TO FEELINGS/NORMAL RESULTS COMPARISONS DO NOT MEET THE CRITERIA NECESSARY FOR LFS TO DETERMINE AN INACCURACY. THE REPORTER STATED THAT THE PATIENT MANAGES THEIR DIABETES USING INSULIN (SELF-ADJUSTER) AND IN RESPONSE TO THE ALLEGED ISSUE, THEY INCREASED THEIR NORMAL INSULIN DOSE FROM 16 UNITS TO 35 UNITS FOR 4 DAYS. THE REPORTER ALLEGED THAT APPROXIMATELY 4 DAYS AFTER THE ISSUE BEGAN, THE PATIENT DEVELOPED SYMPTOMS OF ?DROWSY AND SLEEPY?. THERE IS NO EVIDENCE THE PATIENT REQUIRED OR RECEIVED ANY TREATMENT IN RESPONSE TO THE SYMPTOMS. DURING TROUBLESHOOTING, THE CSR NOTED THAT THE SUBJECT METER WAS SET TO THE CORRECT UNIT OF MEASURE AND THE PATIENT DID NOT HAVE CONTROL SOLUTION. THE CSR ALSO NOTED THAT THE PATIENT?S TEST STRIPS AND CONTROL SOLUTION, HAD BEEN STORED CORRECTLY, WERE WITHIN EXPIRY DATE. REPLACEMENT PRODUCTS WERE SENT TO THE PATIENT. THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT REPORTEDLY DEVELOPED SYMPTOMS OF A SERIOUS INJURY ADVERSE, WHILST USING THE PRODUCT. THERE IS INSUFFICIENT INFORMATION TO RULE OUT THE CONTRIBUTION OF THE SUBJECT METER TO THE EVENT.