BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OT VERIO IQ METER

    MDR report key: 3110259 · Received May 13, 2013

    Report

    Report Number
    3008382007-2013-05399
    Event Type
    Malfunction
    Date Received
    May 13, 2013
    Report Date
    February 20, 2013
    Manufacturer
    LIFESCAN EUROPE GMBH
    Product Code
    NBW
    PMA / PMN Number
    K110637
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    211738 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE GMBH

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Unknown