MAUDE Adverse Event Report: ABBOTT DIABETES CARE INC FREEDOM LITE METER FREESTYLE; BLOOD GLUCOSE MONITORING SYSTEM

Model Number	70914-70
Medical Device Problem Code	Incorrect, Inadequate or Imprecise Result or Readings (1535)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/11/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The customer's product has been retuned for investigation.A follow-up report will be submitted once all investigation activities are complete.All pertinent information available to abbott diabetes care has been submitted.
Event or Problem Description
A customer reported receiving erroneous glucose results from an abbott diabetes care device.The results when plotted on a parkes error grid fell into the c zone.The length of sensor wear was days.There was no report of death, serious injury, or mistreatment associated with this event.
Event or Problem Description
Customer reported receiving a high reading from their abbott diabetes care device.Customer reported a high reading of 333 which was higher than a adc meter of 47.The results when plotted on a parkes error grid fell into the "d" zone showing the difference in values to be clinically significant.There was no report of death, serious injury, or mistreatment associated with this event.
Additional Manufacturer Narrative
The returned meter was investigated with retained test strips and a known-good retained battery.Visual inspection was performed on returned meter.No new issues were observed.Meter powered on with button depression and test strip insertion.Control solution testing has been performed and all results were within range specification.Blank screen was not observed.The complaint was not confirmed.At this time the freestyle strip has not yet been returned.An extended investigation has been performed for the reported freestyle freedom lite meter and freestyle strip and there was no indication that the product did not meet specification.Dhrs for the freestyle freedom lite meter and freestyle strip were reviewed and the dhrs showed the freestyle freedom lite meter and freestyle strip met specifications prior to release to distribution.Retain testing was performed for freestyle strips, and all units performed in specification and passed.If the partial product is returned, a physical investigation will be performed per adc's established processes and procedures and a report will be submitted upon completion of investigation.All pertinent information available to abbott diabetes care has been submitted.

• Brand Name: FREEDOM LITE METER FREESTYLE
• Common Device Name: BLOOD GLUCOSE MONITORING SYSTEM
• Manufacturer (Section D): ABBOTT DIABETES CARE INC; 1360 south loop road; alameda 94502 7001
• Manufacturer Contact: audra fuentes ; 1360 south loop road; alameda 94502-7001 ; 5107495297
• MDR Report Key: 20370810
• Report Number: 2954323-2024-39395
• Device Sequence Number: 3745318
• Product Code: NBW
• UDI-Device Identifier: 00699073714992
• UDI-Public: (01)00699073714992(10)02A218D
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K092602
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Consumer
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 12/31/2024

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
• Operator of Device: Lay User/Patient
• Device Model Number: 70914-70
• Device Lot Number: 1203604
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 09/17/2024
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/11/2024
• Supplement Date Received by Manufacturer: 12/20/2024
• Initial Report FDA Received Date: 10/04/2024
• Supplement Report FDA Received Date: 12/31/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 03/18/2020
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Age: 71 YR
• Patient Sex: Male
• Patient Weight: 68 KG
• Patient Ethnicity: Hispanic
• Patient Race: White