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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIABETES CARE INC. FREESTYLE LIBRE 14 DAY GLUCOSE SENSOR; SENSOR, GLUCOSE, INVASIVE

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ABBOTT DIABETES CARE INC. FREESTYLE LIBRE 14 DAY GLUCOSE SENSOR; SENSOR, GLUCOSE, INVASIVE Back to Search Results
Model Number FREESTYLE LIBRE 14 DAY
Device Problem Patient-Device Incompatibility (2682)
Patient Problems Erythema (1840); Inflammation (1932); Irritation (1941); Partial thickness (Second Degree) Burn (2694)
Event Date 03/20/2020
Event Type  Injury  
Event Description
Blistering and severe irritation at the attachment site of the 14 day freestyle libre glucose sensor.This has been happening since they switched me to the 14 day sensor from the 10 day sensor.I get severe itching while wearing the sensor and then when removed there is a severly irritated, red and inflamed mark that last 5 to 6 weeks after removal of the sensor.Fda safety report id# (b)(4).
 
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Brand Name
FREESTYLE LIBRE 14 DAY GLUCOSE SENSOR
Type of Device
SENSOR, GLUCOSE, INVASIVE
Manufacturer (Section D)
ABBOTT DIABETES CARE INC.
MDR Report Key9877617
MDR Text Key185050547
Report NumberMW5093910
Device Sequence Number1
Product Code MDS
UDI-Device Identifier00357599001018
UDI-Public(01)00357599001018
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 03/20/2020
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
Device Expiration Date07/31/2020
Device Model NumberFREESTYLE LIBRE 14 DAY
Device Catalogue Number71940-01
Device Lot Number191202P
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received03/24/2020
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age58 YR
Patient Weight108
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