FREESTYLE LIBRE 14 DAY 71940-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-03-25 for FREESTYLE LIBRE 14 DAY 71940-01 manufactured by Abbott Diabetes Care Inc.

Event Text Entries

[185904475] At this time product has not yet been returned. An extended investigation has been performed for the reported complaint. There was no indication that the product did not meet specification. The reported complaint is related to skin irritation or an allergic reaction to the patch adhesive of the freestyle libre sensor. Dhrs (device history review) for the freestyle libre sensor kit were reviewed and the dhrs showed the freestyle libre sensor kit passed all tests prior to release. Dose audit reports were reviewed and demonstrates the continued effectiveness of the established sterilization process for libre sensor products. Environmental monitoring reports were reviewed, including bioburden and endotoxin testing, and demonstrated that all monitoring processes continue to meet adc minimum requirements for product quality. If the product is returned, a physical investigation will be performed and a follow-up report submitted. All pertinent information available to abbott diabetes care has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[185904476] The customer reported experiencing a skin reaction while wearing an adc freestyle libre sensor and experienced a symptom described as redness like burn. The customer had contact with a healthcare professional and received dermacombin ointment as treatment. There was no report of death or permanent injury associated with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2954323-2020-02316
MDR Report Key9881274
Report SourceCONSUMER
Date Received2020-03-25
Date of Report2020-03-25
Date of Event2020-03-19
Date Mfgr Received2020-03-19
Device Manufacturer Date2019-06-28
Date Added to Maude2020-03-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactTARA WILLIAMSON
Manufacturer Street1360 SOUTH LOOP ROAD
Manufacturer CityALAMEDA CA 945027001
Manufacturer CountryUS
Manufacturer Postal945027001
Manufacturer Phone5108644472
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFREESTYLE LIBRE 14 DAY
Generic NameFLASH GLUCOSE MONITORING SYSTEM
Product CodePZE
Date Received2020-03-25
Model Number71940-01
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT DIABETES CARE INC
Manufacturer Address1360 SOUTH LOOP ROAD ALAMEDA CA 945027001 US 945027001


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-25

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