MAUDE Adverse Event Report: ROCHE DIABETES CARE, INC. ACCU-CHEK ® CONNECT APP; DIABETES MANAGEMENT SOFTWARE

Model Number 07250452001

Device Problem Application Program Problem: Dose Calculation Error (1189)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 11/10/2021

Event Type  malfunction  

Event Description

It was reported that the bolus recommendations provided by the accu-chek connect app are not accurate.

• Brand Name: ACCU-CHEK ® CONNECT APP
• Type of Device: DIABETES MANAGEMENT SOFTWARE
• Manufacturer (Section D): ROCHE DIABETES CARE, INC.; 9115 hague road; indianapolis IN 46250 0457
• Manufacturer (Section G): ROCHE DIABETES CARE, INC.; 9115 hague road; na; indianapolis IN 46250 1025
• Manufacturer Contact: john krug ; 9115 hague road; na; indianapolis, IN 46250-0457 ; 3175212484
• MDR Report Key: 12869394
• MDR Text Key: 281210853
• Report Number: 3011393376-2021-03668
• Device Sequence Number: 1
• Product Code: NDC
• UDI-Device Identifier: 00365702700017
• UDI-Public: 00365702700017
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K141929
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Consumer
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 12/15/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 11/24/2021
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 07250452001
• Device Catalogue Number: 07250452001
• Device Lot Number: 2.1.10.1
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 12/03/2021
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: No
• Patient Sequence Number: 1
• Treatment: UNKNOWN INSULIN
• Patient Age: 40 YR
• Patient Sex: Female