BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRUETRACK

    MDR report key: 2093764 · Received April 13, 2011

    Report

    Report Number
    1052693-2011-00022
    Event Type
    Malfunction
    Date Received
    April 13, 2011
    Date of Event
    November 30, 2010
    Report Date
    April 12, 2011
    Manufacturer
    NIPRO DIAGNOSTICS, INC.
    Product Code
    NBW
    PMA / PMN Number
    K032657
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    LCD FAULT. (B)(4).

    Description of Event or Problem · 1

    CONSUMER CALLED. METER LCD DISPLAYING PARTIAL CHARACTERS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRUETRACK BLOOD GLUCOSE SYSTEM NBW NIPRO DIAGNOSTICS, INC. TRUETRACK NA

    Patients

    Seq Age Sex Outcome Treatment
    1