FDA Adverse Event Injury Summary report: N

BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM

MDR report key: 15429425 · Received September 15, 2022

Report

Report Number
3016525500-2022-00010
Event Type
Injury
Date Received
September 15, 2022
Report Date
August 31, 2022
Manufacturer
BIGFOOT BIOMEDICAL, INC
Product Code
QLG
UDI-DI
00850003506388
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
242446 BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM DIABETES MANAGEMENT SYSTEM QLG BIGFOOT BIOMEDICAL, INC FG-300204 5547 00850003506388

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male Other