MAUDE Adverse Event Report: LIFESCAN EUROPE GMBH OT VERIO 2 METER; GLUCOSE MONITORING SYS/KIT

Lot Number	5813217
Medical Device Problem Code	Device Handling Problem (3265)
Health Effect - Clinical Codes	Headache (1880); Hypoglycemia (1912); Diaphoresis (2452); Sleepiness/Drowsiness/Somnolence (4850)
Date of Event	09/19/2024
Type of Reportable Event	Serious Injury
Event or Problem Description
On (b)(6) 2024, the lay user/patient contacted lifescan (lfs) united states, alleging that his onetouch verio2 meter read inaccurately high compared to his feelings and/or normal readings.The complaint was classified based on the customer care agent (cca) documentation and on additional information obtained by the medical surveillance specialist after reviewing the call recording.The patient reported that on (b)(6) 2024, at 1:00 am, he obtained an inaccurate high blood glucose reading of ¿70 mg/dl¿ with the subject meter.The patient mentioned that he manages his diabetes with humalog insulin (6 units before each meal on a sliding scale) and tresiba insulin (twice a day).He reported that shortly after the alleged issue occurred, he developed symptoms of ¿sweaty and headache¿.His mother phoned him, and she called the emergency medical services (ems) for assistance.While waiting for ems to arrive, he claimed he drank orange juice and went to sleep.During the call, the patient stated that when ems arrived at his home, they almost broke his door down because they ¿couldn¿t wake him up.¿ he mentioned that it took them 10 minutes to wake him up to answer the door and at around 1:40 am, they tested his blood glucose with their meter, and it was ¿38 mg/dl and dropping¿.The patient claimed they made him drink grape juice and orange juice and that he also had glucose tablets and yogurts and was taken to the hospital so his blood glucose levels could be controlled.The patient reported that he stayed in the hospital for 5 hours and was discharged at 7:00 am with a blood glucose value of 160 mg/dl.At the time of troubleshooting, the cca noted that the test strips had been stored incorrectly.Replacement products were sent to the patient.This complaint is being reported because the patient reportedly developed signs/symptoms suggestive of a serious injury adverse event after the alleged inaccuracy issue began.The subject meter could not be ruled out as a cause or contributor to the event.

• Brand Name: OT VERIO 2 METER
• Common Device Name: GLUCOSE MONITORING SYS/KIT
• Manufacturer (Section D): LIFESCAN EUROPE GMBH; dammstrasse 19; zug 6300 ; SZ 6300
• MDR Report Key: 20457787
• Report Number: 2939301-2024-00071
• Device Sequence Number: 12937005
• Product Code: NBW
• UDI-Device Identifier: 00353885008730
• UDI-Public: 00353885008730
• Combination Product (Y/N): N
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Importer
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 10/15/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Lay User/Patient
• Device Lot Number: 5813217
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: Yes
• Distributor Facility Aware Date: 09/23/2024
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 10/15/2024
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: A
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Hospitalization; Life Threatening
• Patient Sex: Unknown