FDA Adverse Event Malfunction Summary report: N

OT VERIO PRO METER

MDR report key: 3112962 · Received May 14, 2013

Report

Report Number
3008382007-2013-11539
Event Type
Malfunction
Date Received
May 14, 2013
Report Date
April 23, 2013
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
Removal / Correction Number
2013-IE-017
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013, THE LAY USER/ PATIENT CONTACTED LIFESCAN (LFS) (B)(4) ALLEGING THE ONETOUCH VERIOPRO METER READ INACCURATELY COMPARED TO A LABORATORY DEVICE. THE PATIENT REPORTED BLOOD GLUCOSE RESULTS OF "175 MG/DL" WITH THE SUBJECT METER AND "143 MG/DL" ON A LABORATORY DEVICE, PERFORMED WITHIN 10-30 MINUTES OF EACH OTHER. THE PATIENT DID NOT EXPERIENCE ANY SYMPTOMS OR SEEK ANY MEDICAL ATTENTION BECAUSE OF THE REPORTED ISSUE. AS THE RESULTS FELL OUTSIDE EXPECTED VALUES FOR METER TO LAB ACCURACY TESTING, THIS COMPLAINT IS BEING REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
213096 OT VERIO PRO METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL 3353751

Patients

Seq Age Sex Outcome Treatment
1 72 YR