BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OT PING METER

    MDR report key: 3072935 · Received April 23, 2013

    Report

    Report Number
    3008382007-2013-05421
    Event Type
    Malfunction
    Date Received
    April 23, 2013
    Report Date
    February 23, 2013
    Manufacturer
    LIFESCAN EUROPE GMBH
    Product Code
    NBW
    PMA / PMN Number
    K082590
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    175676 OT PING METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE GMBH

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Unknown Life Threatening