FDA Adverse Event Injury Summary report: N

OT VERIO IQ METER

MDR report key: 3070889 · Received April 22, 2013

Report

Report Number
3008382007-2013-08554
Event Type
Injury
Date Received
April 22, 2013
Report Date
April 18, 2013
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
PMA / PMN Number
K110637
Removal / Correction Number
2013-IE-017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013, THE LAY USER/PATIENT CONTACTED LIFESCAN (LFS) (B)(4) ALLEGING THAT SHE OBTAINED AN UNKNOWN ERROR MESSAGE WITH HER ONETOUCH VERIOIQ METER. THE COMPLAINT WAS CLASSIFIED BASED ON THE CUSTOMER SERVICE REPRESENTATIVE (CSR) DOCUMENTATION. THE PATIENT REPORTED THAT THE ALLEGED ERROR MESSAGE APPEARED EITHER IN (B)(6) OF 2013. THE PATIENT INFORMED THE CSR THAT THE ERROR INCLUDED SOME INFORMATION THAT THERE WAS 'SOMETHING WRONG WITH THE TEST STRIP." AT THE TIME OF THE CALL, THE PATIENT REPORTED DEVELOPING SYMPTOMS OF "SHAKY, PALE, TIRED, FEVER, VERY EXHAUSTED" ON AN UNSPECIFIED DATE AFTER THE ALLEGED METER ISSUE STARTED. THE CSR NOTED THAT THE PATIENT DECLINED TO ANY ADDITIONAL QUESTIONS. IT IS NOT KNOWN WHAT MEDICATIONS THE PATIENT WAS TAKING TO MANAGE HER DIABETES AT THE TIME THE ALLEGED ISSUE STARTED. IT IS ALSO NOT KNOWN IF THE PATIENT MADE ANY CHANGES TO HER USUAL DIABETES MANAGEMENT REGIMEN DUE TO NOT BEING ABLE TO TEST WITH THE SUBJECT METER. IN ADDITION, IT IS NOT KNOWN WHAT TREATMENT THE PATIENT RECEIVED IN RESPONSE TO THE SYMPTOMS SHE DEVELOPED. AT THE TIME OF TROUBLESHOOTING, THE CSR NOTED THAT THE PATIENT CLAIMED SHE NO LONGER HAD THE SUBJECT METER. THE PATIENT REPORTED THAT A FEW WEEKS PRIOR TO CONTACTING LFS SHE WENT TO A PHARMACY AND THE PHARMACIST REPLACED THE SUBJECT METER WITH ANOTHER DEVICE (BAYER CONTOUR). REPLACEMENT PRODUCTS WERE SENT TO THE PATIENT. THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT REPORTEDLY DEVELOPED SIGNS/SYMPTOMS SUGGESTIVE OF A SERIOUS INJURY AFTER THE ALLEGED METER ISSUE STARTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
171827 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL

Patients

Seq Age Sex Outcome Treatment
1 50 YR Life Threatening