BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIDE KICK METER

    MDR report key: 1252364 · Received November 24, 2008

    Report

    Report Number
    MW5009109
    Event Type
    Injury
    Date Received
    November 24, 2008
    Date of Event
    November 14, 2008
    Report Date
    November 24, 2008
    Manufacturer
    HOME DIAGNOSTIC, INC
    Product Code
    NBW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTER REPORTS THAT SHE PURCHASED THE SIDE KICK METER AND FOUND THAT THE TEST STRIPS DID NOT WORK IN THE METER, AND THE METER DID NOT GIVE A READING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIDE KICK METER BLOOD GLUCOSE METER NBW HOME DIAGNOSTIC, INC SH2355

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR