LIVONGO TEST STRIPS
Received Oct 11, 2024 · Event occurred Sep 19, 2024
Report 3011196194-2024-00057 · MDR key 20432012
Device
Generic name
Livongo Test Strips
Manufacturer
Teladoc Health, Inc.Catalog number
OFG00406
Lot number
800526
Product problems
- Improper or Incorrect Procedure or Method
- Low Test Results
- Improper or Incorrect Procedure or Method
- Low Test Results
Patient
61 YR · Unknown
- Stroke/CVA
- Stroke/CVA
Narrative
Additional Manufacturer Narrative
THE DEVICE WAS NOT RETURNED, HOWEVER, IF THE DEVICE WERE RETURNED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE FILED.
Description of Event or Problem
PATIENT REPORTED CHECKING THEIR BLOOD GLUCOSE LEVELS MULTIPLE TIMES WITH THE LIVONGO METER, AND THE RESULTS WERE 53 AND 66. THE PATIENT'S SYMPTOMS WORSENED TO VOMITING, PROMPTING THE PATIENT TO GO TO THE EMERGENCY ROOM. IT IS UNCLEAR IF THE MEMBER SELF-TREATED IN ANY WAY. AT THE EMERGENCY ROOM, THE TESTS SHOWED BLOOD GLUCOSE LEVELS BETWEEN 150 AND 170. TROUBLESHOOTING WAS COMPLETED WITH THE PATIENT, AND IT WAS FOUND THAT THE PATIENT USED TEST STRIPS THAT COULD HAVE BEEN OPEN FOR OVER SIX MONTHS. ADDITIONALLY, THESE TEST STRIPS WERE STORED OUTSIDE OF THE ORIGINAL BOTTLE AND KEPT IN A ZIPPER CASE, WHICH COULD HAVE CONTRIBUTED TO TTHE INACCURATE READINGS.
Remedial action
- Other