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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 71992-01
Device Problem Device Alarm System (1012)
Patient Problems Hypoglycemia (1912); Loss of consciousness (2418)
Event Date 02/21/2024
Event Type  Injury  
Manufacturer Narrative
Sensor (b)(6) has been returned and investigated.The sensor plug was seated in mount properly and no physical damage was observed.Data was successfully extracted from the returned sensor using approved software.Visual inspection was performed on the sensor plug assembly and no issues were observed.A new un-used reader was used to activate the returned sensor.The current was applied to the sensor to perform linearity testing and all results were within specification.The low glucose alarm was successfully activated.No malfunction or product deficiency was identified.Therefore, issue is not confirmed.An extended investigation has been performed for the reported complaint and there was no indication that the product did not meet specification.The device history records (dhrs) for the fs libre sensor and fs libre sensor kit were reviewed and the dhrs showed the fs libre sensor and sensor kit passed all tests prior to release.All pertinent information available to abbott diabetes care has been submitted.
 
Event Description
An alarm issue was reported with the adc device.The low glucose alarm did not sound, and customer was unaware of changes in glucose levels.As a result, customer experienced a loss of consciousness and was unable to self-treat, requiring food provided by a third party for 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 Key18956199
MDR Text Key338302004
Report Number2954323-2024-09595
Device Sequence Number1
Product Code QLG
UDI-Device Identifier00357599800000
UDI-Public(01)00357599800000(17)2024-04-30(10)KTP007448(91)71992-01-0005
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 03/21/2024
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 Expiration Date04/30/2024
Device Model Number71992-01
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/29/2024
Initial Date Manufacturer Received Not provided
Initial Date FDA Received03/21/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured09/06/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age56 YR
Patient SexFemale
Patient RaceAmerican Indian Or Alaskan Native
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