BEUDAMED
    FDA Adverse Event Summary report: N

    OT VERIO IQ METER

    MDR report key: 3126015 · Received May 23, 2013

    Report

    Report Number
    2939301-2013-00015
    Date Received
    May 23, 2013
    Report Date
    February 23, 2012
    Manufacturer
    LIFESCAN INC.
    Product Code
    NBW
    PMA / PMN Number
    K110637
    Removal / Correction Number
    2013-IE-017
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    LIFESCAN (LFS) HAS REQUESTED RETURN OF THE SUBJECT PRODUCT(S) FOR EVALUATION. IF THE PRODUCT(S) ARE RETURNED, LFS WILL EVALUATE IT/THEM AND INFORM FDA OF PRODUCT(S) THAT DO NOT PASS INSPECTION IN A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    ON (B)(6) 2012, THE REPORTER CLAIMED THE ONETOUCH VERIO IQ IS GIVING INACCURATE HIGH READINGS OF ¿105, 94, AND 101 MG/DL¿ COMPARED TO ANOTHER METER. THE PATIENT COULD NOT PROVIDE ANY NUMERIC VALUES FOR THE OTHER METER. THERE WAS NO REPORT OF ANY SYMPTOMS OR REQUIRED HCP MEDICAL INTERVENTION TO SUGGEST A SERIOUS INJURY. THIS COMPLAINT IS BEING REPORTED BECAUSE THE REPORTED DUE TO THE ALLEGED INACCURACY ISSUE. THERE WAS NO INDICATION THAT THE PRODUCT CAUSED OR CONTRIBUTED TO AN ADVERSE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    230043 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR