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FDA Medical Device Recalls (openFDA)

Polymer Technology Systems: CVS Health At Home A1C Test Kit, Software Version Revision D, REF Number 3059

Recall number
Z-0686-2020
Recalling firm
Polymer Technology Systems
Product
CVS Health At Home A1C Test Kit, Software Version Revision D, REF Number 3059
Status
Terminated
Initiated
2016-12-02
Posted
not on file
Terminated
2020-07-16
Reason
A numerical value less than 4% or greater than 13% may be displayed instead of the expected <4% or >13% result, due to a software bug.
Root cause
Software design
Action
A Customer Bulletin dated November 2016 was distributed to customers.
Quantity
8285
Distribution
The products were distributed to the following US states: AR, CA, FL, IL, IN, KY, MN, NC, NJ, NY, OH, PA, RI TN, UT, VA, WA, and Puerto Rico. The products were distributed to the following foreign countries: Australia, Bahamas, Belgium, Bahrain, Bangladesh, Canada, China, Columbia, Czech Republic, England, Egypt, Greece, Spain, India, Indonesia, Haiti, Hong Kong, Italy, Japan, Jordan, Kenya, Lebanon, Mexico, Myanmar, Malaysia, Philippines, Pakistan, South Africa, Nigeria, Poland, Saudi Arabia, Sweden, Turkey, Singapore, Trinidad & Tobago, Slovenia, Vietnam, United Arab Emirates, Uruguay.
Lot, serial or model codes
Lot Numbers: 1606319 1606405 1606460 1610622 1610910 1611163 1618153
510(k) numbers
["K090413"]
PMA numbers
not on file
Product code
LCP
Firm FEI
3002698769
Firm city
Whitestown
Firm state
IN
Firm country
not on file

Where this comes from

Register
FDA Medical Device Recalls (openFDA)
Publisher
U.S. Food and Drug Administration (openFDA)
File
device-recall-0001-of-0001.json.zip
sha256
b87518bfe2e8
Size
288210821 bytes
Published
2026-09-28
Read
2026-09-29T08:25:23.626Z
Source file
Source file retained · verify
Refresh due
2026-10-06

Unless otherwise noted, the content, data, documentation, code, and related materials on openFDA is public domain and made available with a Creative Commons CC0 1.0 Universal dedication.

Cite as

FDA Medical Device Recalls (openFDA) (U.S. Food and Drug Administration (openFDA)), device-recall-0001-of-0001.json.zip, sha256 b87518bfe2e8, published 2026-09-28

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