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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIABETES CARE INC FREESTYLE LIBRELINK; DATA MANAGEMENT SYSTEM

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ABBOTT DIABETES CARE INC FREESTYLE LIBRELINK; DATA MANAGEMENT SYSTEM Back to Search Results
Model Number 71733-01
Device Problems Unable to Obtain Readings (1516); Application Program Problem (2880)
Patient Problems Hyperglycemia (1905); Shaking/Tremors (2515); Confusion/ Disorientation (2553); Polydipsia (2604)
Event Date 12/23/2022
Event Type  Injury  
Event Description
A caregiver reported that the adc application is incompatible with the customer's phone and therefore was unable to scan the sensor using the app.The customer reported experiencing symptoms of confusion, shaking, drinking a lot, urination, and was unable to self-treat.The customer was seen by an hcp who diagnosed them with hyperglycemia and received treatment with insulin (dose/type unknown) and iv fluids.There was no report of death or permanent injury associated with this event.
 
Manufacturer Narrative
The customer¿s product has been requested for investigation.A follow-up report will be filed once additional information is obtained.The device manufacturing date is unknown.The date entered in the date abbott diabetes care became aware of the event.All pertinent information available to abbott diabetes care has been submitted.
 
Manufacturer Narrative
Extended investigation has been performed for the reported complaint and there was no indication that the librelink application did not meet specification.The customer reported an incompatible device with the librelink application.The device and phone version were not provided.Based on case information, no issues were identified with the librelink application itself.Therefore, issue is not confirmed.All pertinent information available to abbott diabetes care has been submitted.
 
Event Description
A caregiver reported that the adc application is incompatible with the customer's phone and therefore was unable to scan the sensor using the app.The customer reported experiencing symptoms of confusion, shaking, drinking a lot, urination, and was unable to self-treat.The customer was seen by an hcp who diagnosed them with hyperglycemia and received treatment with insulin (dose/type unknown) and iv fluids.There was no report of death or permanent injury associated with this event.
 
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Brand Name
FREESTYLE LIBRELINK
Type of Device
DATA MANAGEMENT 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 Key16212302
MDR Text Key307765453
Report Number2954323-2023-03361
Device Sequence Number1
Product Code PZE
UDI-Device Identifier00357599000042
UDI-Public00357599000042
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P160030
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 03/17/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model Number71733-01
Device Catalogue Number71732-01
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 12/27/2022
Initial Date FDA Received01/19/2023
Supplement Dates Manufacturer Received03/01/2023
Supplement Dates FDA Received03/17/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured12/27/2022
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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