FDA Adverse Event Malfunction Summary report: N

OT VERIO IQ METER

MDR report key: 3022159 · Received March 26, 2013

Report

Report Number
3008382007-2013-06282
Event Type
Malfunction
Date Received
March 26, 2013
Report Date
March 6, 2013
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
PMA / PMN Number
K110637
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013 THE LAY USER/PATIENT IN (B)(6) CONTACTED LIFESCAN (LFS) TO REPORT THE ONE TOUCH VERIO IQ METER WAS GIVING INACCURATELY ERRATIC READINGS. THE REPORTER WAS UNABLE TO PROVIDE ANY SPECIFIC DATA. NO INFORMATION WAS PROVIDED ABOUT THE PATIENT'S TEST STRIPS OR TESTING TECHNIQUE. THE PATIENT EXPERIENCED NO SYMPTOMS AND DENIED SEEKING MEDICAL ATTENTION. THE PATIENT DID NOT SUFFER ANY INJURY DUE TO THE REPORTED METER. THE PATIENT EXPERIENCED NO SYMPTOMS AND HE DENIED SEEKING MEDICAL ATTENTION. HOWEVER, AS THE INACCURACY ISSUE WAS NOT RESOLVED, THIS COMPLAINT IS BEING REPORTED. THERE WAS NO INDICATION THAT THE PRODUCT CAUSED OR CONTRIBUTED TO AN ADVERSE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
124224 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL

Patients

Seq Age Sex Outcome Treatment
1