FDA Adverse Event Injury Summary report: N

BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM

MDR report key: 18104220 · Received November 9, 2023

Report

Report Number
3016525500-2022-00017
Event Type
Injury
Date Received
November 9, 2023
Date of Event
September 7, 2022
Report Date
October 6, 2022
Manufacturer
BIGFOOT BIOMEDICAL,.INC
Product Code
QLG
UDI-DI
00850003506401
PMA / PMN Number
K202145
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

NO ALLEGATION AGAINST THE SYSTEM WAS REPORTED BY THE CUSTOMER. BIGFOOT CONDUCTED A THOROUGH INVESTIGATION AND THERE WAS NO INDICATION THAT THE PRODUCT DID NOT MEET SPECIFICATION. REVIEW OF THE DATA LOGS SHOW THAT THE SYSTEM ISSUED LOW GLUCOSE ALERTS PER SPECIFICATION AND SOME ALERTS WERE ACKNOWLEDGED BY THE CUSTOMER. AFTER ACKNOWLEDGEMENT OR RESOLUTION OF AN ALERT, THE SYSTEM RE-ISSUED LOW GLUCOSE ALERTS PER SPECIFICATION WHEN THE CUSTOMER'S GLUCOSE REACHED LOW AND VERY LOW LEVELS. IF BIGFOOT LEARNS OF ANY NEW INFORMATION IN RELATION TO THIS CASE, ANOTHER INVESTIGATION WILL BE PERFORMED, AND A FOLLOW-UP REPORT WILL BE SUBMITTED. ALL PERTINENT INFORMATION AVAILABLE TO BIGFOOT HAS BEEN SUBMITTED.

Description of Event or Problem · 0

CUSTOMER REPORTED SYMPTOMS OF HYPOGLYCEMIA INCLUDING DIS-ORIENTATION AND TIREDNESS ON (B)(6) 2022. THE CUSTOMER DID NOT TREAT THEIR HYPOGLYCEMIC EVENT. THE CUSTOMER STATED THAT THEY RECEIVED LOW GLUCOSE ALERTS FROM THE BIGFOOT UNITY SYSTEM. THERE WAS NO REPORT OF THE CUSTOMER REQUIRING THIRD PARTY ASSISTANCE OR MEDICAL INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73858 BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM DIABETES MANAGEMENT SYSTEM QLG BIGFOOT BIOMEDICAL,.INC FG-300206 20310 00850003506401

Patients

Seq Age Sex Outcome Treatment
1 41 YR Unknown Other