FDA Adverse Event Malfunction Summary report: N

OT VERIO PRO METER

MDR report key: 2657514 · Received July 17, 2012

Report

Report Number
3008382007-2012-03162
Event Type
Malfunction
Date Received
July 17, 2012
Report Date
July 9, 2012
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE METER AND TEST STRIPS WERE REPLACED AND REQUESTED BACK FOR INVESTIGATION. LIFESCAN (LFS) RECEIVED THE TEST STRIPS INVOLVED WITH THIS COMPLAINT ON (B)(4) 2012; HOWEVER THE INVESTIGATION HAS NOT BEEN COMPLETED. IF THE METER IS RETURNED, LFS WILL EVALUATE THE METER AND INFORM FDA OF THOSE FINDINGS IN A SUPPLEMENTAL REPORT. AT THIS TIME, LFS CONSIDERS THIS MATTER CLOSED.

Additional Manufacturer Narrative · 1

FOLLOW-UP (9/10/2012)-DEVICE EVALUATION: THE TEST STRIPS INVOLVED WITH THIS COMPLAINT HAS BEEN RETURNED AND EVALUATED BY LIFESCAN PRODUCT ANALYSIS ON (B)(4) 2012 WITH THE FOLLOWING FINDINGS: THE TEST STRIP HAS PASSED TESTING WITH NO FAULTS FOUND. IF LIFESCAN OBTAINS ADDITIONAL INFORMATION REGARDING THIS COMPLAINT, A FOLLOW UP REPORT WILL BE SUBMITTED. AT THIS TIME, LIFESCAN CONSIDERS THIS MATTER CLOSED.

Description of Event or Problem · 1

ON (B)(6) 2012, THE LAY USER/ PATIENT'S WIFE CONTACTED LIFESCAN (LFS) (B)(4) ALLEGING THE ONETOUCH VERIO PRO METER READ INACCURATELY ERRATIC. THE PATIENT'S WIFE REPORTED BLOOD GLUCOSE RESULTS OF "153, 105, 540, AND 63 MG/DL" WITH THE SUBJECT METER, PERFORMED WITHIN 20 MINUTES OF EACH OTHER. THE PATIENT'S WIFE STATED THE PATIENT DID NOT EXPERIENCE ANY SYMPTOMS OR SEEK ANY MEDICAL ATTENTION BECAUSE OF THE REPORTED ISSUE. AS THE RESULTS FELL OUTSIDE EXPECTED VALUES FOR PRECISION TESTING, THIS COMPLAINT IS BEING REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OT VERIO PRO METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL

Patients

Seq Age Sex Outcome Treatment
1 112 YR