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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIABETES CARE INC. FREESTYLE; BLOOD GLUCOSE MONITORING SYSTEM

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ABBOTT DIABETES CARE INC. FREESTYLE; BLOOD GLUCOSE MONITORING SYSTEM Back to Search Results
Catalog Number 11001-1
Device Problem Failure to Power Up (1476)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 12/03/2015
Event Type  malfunction  
Manufacturer Narrative
Unless further information is obtained, this issue is considered closed.All pertinent information available to abbott diabetes care has been submitted.
 
Event Description
The reporter contacted abbott diabetes care, alleging the meter will not turn on.This complaint is being reported because the reported issue was not resolved with troubleshooting.There was no report of death, serious injury, or mistreatment associated with this event.
 
Manufacturer Narrative
The reported meter was returned and investigated with retained test strips.The meter was visually inspected and no physical damage was observed.A blank screen was not observed.The complaint is not confirmed.
 
Manufacturer Narrative
Additional result: the reported meter was returned and investigated with retained test strips.The meter was visually inspected and contamination on the battery compartment was observed.The meter's memory could not be downloaded.A blank screen was not observed.The complaint is not confirmed.
 
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Brand Name
FREESTYLE
Type of Device
BLOOD GLUCOSE MONITORING SYSTEM
Manufacturer (Section D)
ABBOTT DIABETES CARE INC.
1360 south loop road
alameda CA 94502 7001
Manufacturer Contact
meg manager
1360 south loop road
alameda, CA 94502-7001
5108644391
MDR Report Key5329976
MDR Text Key35019201
Report Number2954323-2015-02303
Device Sequence Number1
Product Code LFR
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K092602
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Reporter Occupation Health Professional
Type of Report Initial,Followup,Followup
Report Date 03/28/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number11001-1
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/23/2015
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 12/03/2015
Initial Date FDA Received12/28/2015
Supplement Dates Manufacturer ReceivedNot provided
Not provided
Supplement Dates FDA Received02/04/2016
03/28/2016
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured09/07/2012
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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