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

Lot Number	5767663
Medical Device Problem Code	Use of Incorrect Control/Treatment Settings (1126)
Health Effect - Clinical Code	Loss of consciousness (2418)
Date of Event	09/26/2024
Type of Reportable Event	Serious Injury
Event or Problem Description
On (b)(6) 2024, a reporter for the lay user/patient contacted lifescan (lfs) usa, alleging that the patient¿s onetouch verio flex meter was ¿testing in settings mode¿.This complaint was classified based on information obtained by the customer care agent (cca) during the initial call since the reporter could not be reached when the cca attempted to follow up with them to obtain additional information.The reporter was unable and/or unwilling to advise when the alleged issue first began.It is not known what medication, if any, the patient takes to manage their diabetes or if they made any changes to their usual diabetes management regimen in response to the alleged issue.The cca walked the reporter through the correct testing procedure and noted that although the apply sample icon appeared on the subject meter, the reporter was unable to obtain a blood glucose reading as they were ¿not getting enough blood¿ from the patient.The reporter stated that the patient had become ¿unresponsive¿ which they attributed to the patient having ¿extremely low¿ blood sugar.The reporter advised the cca that they were going to terminate the call as they planned to contact the paramedics for assistance; (b)(6) 2024 at approximately 11:30 a.M.No further information was provided with respect to the alleged event.It is not known what treatment, if any, the patient received.At the time of troubleshooting, the cca established that the device was not being used for the first time at the time of the alleged issue occurring.The cca educated the reporter on the correct testing procedure and attempted to walk through a retest; however, the reporter was unable to get a large enough blood sample from the patient to perform a test.This complaint is being reported because the patient reportedly developed signs/symptoms suggestive of a serious injury adverse event after the alleged issue began.The subject device could not be ruled out as a cause or contributor to the event.

• Brand Name: OT VERIO FLEX METER
• Common Device Name: GLUCOSE MONITORING SYS/KIT
• Manufacturer (Section D): LIFESCAN EUROPE GMBH; dammstrasse 19; zug 6300 ; SZ 6300
• MDR Report Key: 20469298
• Report Number: 2939301-2024-00072
• Device Sequence Number: 7519690
• Product Code: NBW
• UDI-Device Identifier: 00353885010986
• UDI-Public: 00353885010986
• Combination Product (Y/N): N
• 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): 10/17/2024

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: 5767663
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: Yes
• Distributor Facility Aware Date: 09/26/2024
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 10/17/2024
• 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: Life Threatening
• Patient Sex: Unknown