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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 71732-01
Device Problems Device Alarm System (1012); Application Program Problem (2880)
Patient Problems Hypoglycemia (1912); Cognitive Changes (2551); Confusion/ Disorientation (2553)
Event Date 02/22/2024
Event Type  Injury  
Manufacturer Narrative
An extended investigation has been performed for the reported complaint and there was no indication that the product did not meet specification.The customer experienced a "missing high and low alarm" with the freestyle librelink application.Product quality engineering attempted to replicate the reported issue using a cellular device not identical to the actual device, but which shares relevant characteristics with the device involved and android 13 and app version 2.10.1.10406, and was not able to reproduce the complaint.There were no issues identified with the freestyle librelink app during replication that would have led to the reported issue.Section d.Suspected medical device and g4 - pma/510(k)# has been populated for the freestyle librelink android application as this report concerns a spain customer.This is same/similar to us freestyle libre 2 ios/android application part number 71857-01.The device mfg date is unknown.The date entered in section h4 is the date abbott diabetes care became aware of the event.All pertinent information available to abbott diabetes care has been submitted.
 
Event Description
An alarm issue was reported with the abbott diabetes care (adc) device in use with samsung 023 phone with android operating system version 13.The low and high glucose alarms did not sound and the customer was not alerted of changes in glucose level.As a result, the customer experienced "disorientation", "memory loss", and was unable to self-treat, requiring third-party treatment of "glucagon injection" (dose unspecified) by a non-healthcare professional.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 Key18863847
MDR Text Key337179527
Report Number2954323-2024-08035
Device Sequence Number1
Product Code PZE
UDI-Device Identifier00357599000042
UDI-Public00357599000042
Combination Product (y/n)N
Reporter Country CodeSP
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
Report Date 03/08/2024
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 Number71732-01
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 02/24/2024
Initial Date FDA Received03/08/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured02/24/2024
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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