FDA Adverse Event
Injury
Summary report: N
BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM
MDR report key: 15272757
·
Received August 23, 2022
Report
- Report Number
- 3016525500-2022-00013
- Event Type
- Injury
- Date Received
- August 23, 2022
- Date of Event
- July 25, 2022
- Report Date
- September 12, 2023
- Manufacturer
- BIGFOOT BIOMEDICAL, INC
- Product Code
- QLG
- UDI-DI
- 00850003506395
- PMA / PMN Number
- K202145N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 364767 | BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM | DIABETES MANAGEMENT SYSTEM | QLG | BIGFOOT BIOMEDICAL, INC | FG-300205 | 13516 | 00850003506395 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Female | Hospitalization |