FDA Adverse Event Malfunction Summary report: N

OT VERIO PRO METER

MDR report key: 2850312 · Received November 29, 2012

Report

Report Number
3008382007-2012-06887
Event Type
Malfunction
Date Received
November 29, 2012
Report Date
November 13, 2012
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE PHARMACIST CALLED LFS ON BEHALF OF THE PATIENT AND ASKED FOR A REPLACEMENT VERIO PRO METER. THE PHARMACIST DID NOT HAVE THE SERIAL NUMBER OR LOT # OF THE TEST STRIPS AVAILABLE TO TROUBLESHOOT. IT IS UNKNOWN WHAT THE ISSUE IS WITH THE METER. THERE IS NO EVIDENCE THAT THE METER CAUSED OR CONTRIBUTED TO AN ADVERSE EVENT. METER WAS REPLACED. THE COMPLAINT IS BEING REPORTED SINCE THERE WAS A PROBLEM WITH THE PATIENT¿S METER.

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