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