FDA Adverse Event
Malfunction
Summary report: N
EASYMAX V
MDR report key: 22640754
·
Received July 29, 2025
Report
- Report Number
- 3004130086-2025-00009
- Event Type
- Malfunction
- Date Received
- July 29, 2025
- Date of Event
- July 8, 2025
- Report Date
- July 29, 2025
- Manufacturer
- EPS BIO TECHNOLOGY CORP.
- Product Code
- NBW
- UDI-DI
- 00885017000058
- PMA / PMN Number
- K092894
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TW
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
CUSTOMER COMPLAINTED THAT THE METER HAS A ERR MESSAGE PROBLEM.. (MODEL EMN) MANUFACTURING RECORDS WILL BE REVIEWED RIGHT AFTER RECEIVING THE SERIAL NUMBER AND OTHER DEVICE INFORMATION. THE DEVICE IS NOT RETURNED YET. RELEVANT INVESTIGATION WILL BE INITIATED AFTER RECEIVING THOSE INFORMATION. THE USER HAS NOT YET PROVIDED THE NONCONFORMING METER OR RELATED INFORMATION. THE FIELDS FOR LOT OR BATCH NUMBER, SERIAL NUMBER, AND MANUFACTURING DATE CANNOT BE FILLED IN. IF THE USER PROVIDES THE RELEVANT INFORMATION LATER, IT WILL BE FILLED IN ACCORDINGLY.
Description of Event or Problem · 0
ERR MESSAGE OF THE SELF-MONITORING BLOOD GLUCOSE METER (MODEL EMV).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2750842 | EASYMAX V | SELF-MONITORING BLOOD GLUCOSE SYSTEM | NBW | EPS BIO TECHNOLOGY CORP. | 100603503 | 00885017000058 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male |