BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OT VERIO METER

    MDR report key: 3120800 · Received May 20, 2013

    Report

    Report Number
    3008382007-2013-05387
    Event Type
    Malfunction
    Date Received
    May 20, 2013
    Report Date
    February 20, 2013
    Manufacturer
    LIFESCAN EUROPE GMBH
    Product Code
    NBW
    PMA / PMN Number
    K093745
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    223373 OT VERIO METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE GMBH

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Unknown