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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ROCHE DIABETES CARE, INC. ACCU-CHEK CONNECT APP; DIABETES MANAGEMENT SOFTWARE
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ROCHE DIABETES CARE, INC. ACCU-CHEK CONNECT APP; DIABETES MANAGEMENT SOFTWARE Back to Search Results
Catalog Number 07250452001
Device Problem Application Program Problem: Dose Calculation Error (1189)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 04/16/2018
Event Type  malfunction  
Event Description
Caller alleges bolus advice is inaccurate; it no longer takes blood glucose reading into account when providing bolus advice.No adverse event reported.Back up file received; no product requested for return.
 
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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
greg smith
9115 hague road
na
indianapolis, IN 46250-0457
3175212484
MDR Report Key7540331
MDR Text Key109126536
Report Number3011393376-2018-02157
Device Sequence Number1
Product Code NDC
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Patient
Type of Report Initial,Followup
Report Date 08/21/2018
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 Lay User/Patient
Device Catalogue Number07250452001
Device Lot Number2.1.3.3
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 04/30/2018
Initial Date FDA Received05/24/2018
Supplement Dates Manufacturer Received08/03/2018
Supplement Dates FDA Received08/21/2018
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Type of Device Usage N
Patient Sequence Number1
Treatment
UNKNOWN INSULIN
Patient Age59 YR
Patient Weight54
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