BIGFOOT UNITY DIABETES MANAGEMENT SYSTEM
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
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.
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 |