FDA Adverse Event Injury Summary report: N

OT VERIO IQ METER

MDR report key: 3080740 · Received April 26, 2013

Report

Report Number
3008382007-2013-09244
Event Type
Injury
Date Received
April 26, 2013
Report Date
April 15, 2013
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
PMA / PMN Number
K110637
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ON (B)(4) 2013, THE LAY USER/PATIENT CONTACTED LIFESCAN (LFS) ALLEGING THAT HIS ONETOUCH VERIO IQ METER WAS READING INACCURATELY HIGH. THE COMPLAINT WAS CLASSIFIED BASED ON THE CUSTOMER CARE ADVOCATE'S (CCA) DOCUMENTATION. THE PATIENT CLAIMED THE ALLEGED ISSUE BEGAN ON (B)(6) 2013 AT APPROXIMATELY 5:23 PM. HE TESTED ON THE SUBJECT METER AND OBSERVED VALUES OF 552, 641, 527 MG/DL WHICH HE FELT WERE HIGHER THAN HIS USUAL READINGS/FEELINGS. IT IS NOT KNOWN WHAT RANGE THE PATIENT CONSIDERS TO BE NORMAL. THE PATIENT MANAGES HIS DIABETES WITH 70 UNITS OF LANTUS AND AMARYL PILLS 2 MG AND DENIED TAKING ANY ACTION REGARDING HIS USUAL DIABETES MANAGEMENT ROUTINE IN RESPONSE TO THE ALLEGED ISSUE. APPROXIMATELY 30 MINUTES AFTER TESTING, HE CLAIMED HE DEVELOPED SYMPTOMS OF SHAKING, VISION PROBLEMS AND DIFFICULTY IN WALKING. HE SELF TREATED HIS SYMPTOMS WITH GLUCOSE TABS/GEL AT APPROXIMATELY 5:53 PM THAT SAME EVENING. AT THE TIME OF TROUBLESHOOTING THE CCA CONFIRMED THE METER WAS SET TO THE CORRECT UNIT OF MEASURE. THE SUBJECT TEST STRIPS WERE UNEXPIRED AND STORED CORRECTLY. A CONTROL SOLUTION TEST WAS NOT PERFORMED BECAUSE THE PATIENT DID NOT HAVE ANY CONTROL SOLUTION AVAILABLE. REPLACEMENT PRODUCTS HAVE BEEN SENT TO THE PATIENT AND SUBJECT PRODUCTS ARE PENDING RETURN FOR INVESTIGATION. THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT REPORTEDLY DEVELOPED SYMPTOMS SUGGESTIVE OF HYPOGLYCEMIA AFTER THE ALLEGED METER ISSUE BEGAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
180948 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL 3321079

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening| R