BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OT VERIO IQ METER

    MDR report key: 3172727 · Received June 17, 2013

    Report

    Report Number
    3008382007-2013-05338
    Event Type
    Malfunction
    Date Received
    June 17, 2013
    Report Date
    February 19, 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
    274713 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE GMBH

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Unknown