Brand Name | FREESTYLE LIBRE 14 DAY BLOOD GLUCOSE MONITOR |
Type of Device | SENSOR, GLUCOSE, INVASIVE |
Manufacturer (Section D) |
ABBOTT DIABETES CARE, INC. |
|
|
MDR Report Key | 9711351 |
MDR Text Key | 179785192 |
Report Number | MW5092998 |
Device Sequence Number | 1 |
Product Code |
MDS
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
02/11/2020 |
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? |
Yes
|
Device Operator |
Lay User/Patient
|
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 02/13/2020 |
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 56 YR |
Patient Weight | 95 |
|
|