Brand Name | ONETOUCH VERIO |
Type of Device | SYSTEM, TEST, BLOOD GLUCOSE, OVER THE COUNTER |
Manufacturer (Section D) |
|
MDR Report Key | 10000618 |
MDR Text Key | 189167328 |
Report Number | MW5094267 |
Device Sequence Number | 1 |
Product Code |
NBW
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
04/23/2020 |
4 Devices were Involved in the Event: |
1
2
3
4
|
1 Patient was Involved in the Event |
|
Date FDA Received | 04/24/2020 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Expiration Date | 10/31/2020 |
Device Model Number | VERIO TEST STRIP-PACK OF 50 |
Device Lot Number | 4510142 |
Was Device Available for Evaluation? |
Yes
|
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 57 YR |
Patient Weight | 79 |
|
|