BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GLUCOMETER QA WITH GLUCOFILM

    MDR report key: 21723 · Received May 9, 1995

    Report

    Report Number
    MW1005867
    Event Type
    Malfunction
    Date Received
    May 9, 1995
    Date of Event
    April 12, 1995
    Report Date
    April 17, 1995
    Manufacturer
    MILES, INC.
    Product Code
    CFR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    POSTMARK DATE: 5/26/95.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GLUCOMETER QA WITH GLUCOFILM BLOOD GLUCOSE TEST CFR MILES, INC. C189124

    Patients

    Seq Age Sex Outcome Treatment
    1 *