FDA Adverse Event Injury Summary report: N

OT VERIO IQ METER

MDR report key: 6992587 · Received November 1, 2017

Report

Report Number
3008382007-2017-23030
Event Type
Injury
Date Received
November 1, 2017
Report Date
October 24, 2017
Manufacturer
LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL
Product Code
NBW
UDI-DI
00353885008402
PMA / PMN Number
K110637
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

ON (B)(6) 2017, THE LAY USER/PATIENT CONTACTED LIFESCAN (LFS) USA ALLEGING THAT THEIR ONETOUCH VERIO IQ METER READ INACCURATELY HIGH COMPARED TO THEIR FEELINGS AND/OR NORMAL READINGS. THE COMPLAINT WAS CLASSIFIED BASED ON THE CUSTOMER CARE ADVOCATE (CCA) DOCUMENTATION. THE PATIENT REPORTED THAT THE ALLEGED INACCURACY OCCURRED ON (B)(6). AT THIS TIME, THE PATIENT OBTAINED BLOOD GLUCOSE RESULTS OF ¿250, 198 AND 150MG/DL¿ WITH THE SUBJECT METER. METER TO FEELINGS/NORMAL RESULTS COMPARISONS DO NOT MEET THE CRITERIA NECESSARY FOR LFS TO DETERMINE THE POSSIBILITY OF INACCURACY. THE PATIENT MANAGES THEIR DIABETES BY SELF-ADJUSTING THEIR INSULIN DOSAGE AND DID NOT MAKE ANY CHANGES TO THEIR NORMAL DIABETES MANAGEMENT REGIMEN AS A RESULT OF THE ALLEGED PRODUCT ISSUE. THE PATIENT REPORTED THAT ONE AND A HALF HOURS AFTER THE ALLEGED PRODUCT ISSUE OCCURRED THEY DEVELOPED THE SYMPTOMS OF ¿SHAKING, EYES OUT OF FOCUS AND THIRSTY¿; HOWEVER, DID NOT REQUIRE ANY FORM OF TREATMENT AS A RESULT OF THESE SYMPTOMS. AT THE TIME OF TROUBLESHOOTING, THE CCA NOTED THAT THE UNIT OF MEASURE WAS SET CORRECTLY AND THE PATIENT DID NOT HAVE TEST STRIPS AVAILABLE TO WALK THROUGH A CONTROL SOLUTION TEST ON THE SUBJECT METER. THE PATIENT¿S PRODUCTS WERE REPLACED. THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT REPORTEDLY DEVELOPED SYMPTOMS SUGGESTIVE OF A SERIOUS INJURY ADVERSE EVENT AFTER OBTAINING REPORTEDLY INACCURATE HIGH BLOOD GLUCOSE RESULTS WITH THE SUBJECT METER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
772173 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE, A DIVISION OF CILAG GMBH INTL 00353885008402

Patients

Seq Age Sex Outcome Treatment
1 75 YR Life Threatening