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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIABETES CARE INC FREESTYLE LIBRE 2; FLASH GLUCOSE MONITORING SYSTEM

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ABBOTT DIABETES CARE INC FREESTYLE LIBRE 2; FLASH GLUCOSE MONITORING SYSTEM Back to Search Results
Model Number 71953-01
Device Problems No Device Output (1435); Unable to Obtain Readings (1516)
Patient Problem Loss of consciousness (2418)
Event Date 05/10/2021
Event Type  Injury  
Manufacturer Narrative
Reader mcga238-j2704 was returned and investigated.Visual inspection has been performed on the returned reader and no issues were observed.The reader did not turn on with button, strip, or usb cable insertion.The returned reader was connected to the computer and the reader was not recognized.The reader was sent for further investigation and de-cased.Inspection determined that the central processing unit (cpu) was causing the libre reader to be unresponsive to a button press, strip insertion, touchscreen activation, and/or activation of a new sensor.When the cpu was physically pressed against the reader¿s print circuit board (pcb), the reader powered up and passed all internal built-in self-tests, and the complaint behavior was not observed.When the pressure was removed from the cpu, the reader would revert to their reported complaint behavior.Because the reader worked as expected when pressure was applied to the cpu, it was determined that there was poor connection between cpu and pcb.Issue is confirmed.(b)(4).An extended investigation has been performed for the reported complaint.There was no indication that the product did not meet specification.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.All pertinent information available to abbott diabetes care has been submitted.
 
Event Description
A battery/no power issue was reported with the freestyle libre 2 reader.Customer reported being unable to test due to the reader not powering on with button press or test strip insertion and experiencing dizziness and a loss of consciousness.There was no report of self-treatment or third-party treatment.There was no report of death or permanent impairment associated with this event.
 
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Brand Name
FREESTYLE LIBRE 2
Type of Device
FLASH GLUCOSE MONITORING SYSTEM
Manufacturer (Section D)
ABBOTT DIABETES CARE INC
1360 south loop road
alameda CA 94502 7001
Manufacturer Contact
audra fuentes
1360 south loop road
alameda, CA 94502-7001
5107495297
MDR Report Key11948440
MDR Text Key254568517
Report Number2954323-2021-71471
Device Sequence Number1
Product Code QLG
UDI-Device Identifier00357599803001
UDI-Public00357599803001
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K193371
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 06/07/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/07/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model Number71953-01
Device Catalogue Number71953
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/27/2021
Date Manufacturer Received05/13/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured08/25/2020
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
Patient Age68 YR
Patient Weight129
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