FDA Adverse Event Injury Summary report: N

OT VERIO IQ METER

MDR report key: 8381086 · Received March 1, 2019

Report

Report Number
3008382007-2019-00568
Event Type
Injury
Date Received
March 1, 2019
Date of Event
February 18, 2019
Report Date
February 21, 2019
Manufacturer
LIFESCAN EUROPE GMBH
Product Code
NBW
UDI-DI
00353885008402
PMA / PMN Number
K110637
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 1

ON (B)(6) 2019 THE LAY USER/PATIENT CONTACTED LIFESCAN USA ALLEGING HER ONE TOUCH VERIOIQ METER DISPLAYED THE ERROR MESSAGE ¿ERROR 2¿. THE COMPLAINT WAS CLASSIFIED BASED ON CUSTOMER SERVICE REPRESENTATIVE (CSR) DOCUMENTATION. THE PATIENT REPORTED THAT THE ALLEGED ERROR MESSAGE FIRST APPEARED ON (B)(6) 2019 AT 6:30 PM. THE PATIENT INFORMED THE CSR THAT SHE MANAGES HER DIABETES WITH A COMBINATION OF ORAL MEDICATION (METFORMIN ¿1 G¿ AND AMARYL 2 MG) AND CLAIMS SHE ATE HER MEAL AFTER SHE RECEIVED THE ERROR MESSAGE AS SHE ASSUMED THAT HER SUGAR WAS LOW. IMMEDIATELY AFTER SHE RECEIVED THE ERROR MESSAGE ON THE SUBJECT METER, THE PATIENT DEVELOPED SYMPTOMS OF ¿PALPITATING, SWEATING AND FEELING DIZZY¿. THE PATIENT DENIED RECEIVING ANY TREATMENT IN RESPONSE TO THE ALLEGED ISSUE. IT WAS NOT REPORTED IF SHE USED ANY OTHER DEVICE TO TEST HER BLOOD GLUCOSE. DURING TROUBLESHOOTING, THE CSR CONFIRMED THAT THE PATIENT USED THE CORRECT TEST STRIPS AND FOLLOWED THE CORRECT TESTING PROCEDURE. THE SUBJECT METER WAS NOT BEING USED FOR THE FIRST TIME AND THERE WAS NO INDICATION OF MISUSE TO THE DEVICE. AFTER PRESSING THE POWER BUTTON, THE CSR CONFIRMED THAT THE ERROR MESSAGE DOES NOT OCCUR, HOWEVER, THE PATIENT COULD NOT SPECIFY WHETHER THE ISSUE WAS RESOLVED. REPLACEMENT PRODUCTS HAVE BEEN SENT TO THE PATIENT. THIS COMPLAINT IS BEING REPORTED BECAUSE THE PATIENT CLAIMS SHE WAS UNABLE TO TEST HER BLOOD GLUCOSE DUE TO THE REPORTED ISSUE AND REPORTEDLY DEVELOPED SYMPTOMS SUGGESTIVE OF A SERIOUS INJURY ADVERSE EVENT AFTER THE ALLEGED METER ISSUE BEGAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174214 OT VERIO IQ METER GLUCOSE MONITORING SYS/KIT NBW LIFESCAN EUROPE GMBH 4320031 00353885008402

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening