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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: LABSTYLE INNOVATIONS LTD DARIO BLOOD GLUCOSE MONITORING SYSTEM; GLUCOMETER

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LABSTYLE INNOVATIONS LTD DARIO BLOOD GLUCOSE MONITORING SYSTEM; GLUCOMETER Back to Search Results
Model Number 1021-06
Medical Device Problem Code Incorrect, Inadequate or Imprecise Result or Readings (1535)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 07/23/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
While troubleshooting on the phone with dario's representative, the user tested his dario meter with control solution.The meter read within range for both tests.Control solution level 1 test results was 150 mg/dl (range 108-155 mg/dl) control solution level 2 test results was 250 mg/dl (range 186-267 mg/dl) following the dario representative's question, the user stated that he didn't have another cartridge of strips with a different lot number to perform additional tests.A replacement of dario's strips and control solution was sent to the user to make sure that the dario strips are reading correctly, and to ensure proper technique.After the above was received, multiple attempts to follow up with the user were made, however, no response has been received to date.There is not enough information regarding the meter and old strips available to further investigate this case.Therefore, no resolution is available.
 
Event or Problem Description
On july 23rd, the user contacted dario to report that he performed a control solution test in order to verify the accuracy of his dario meter and test strips and the results that he received were out of range.
 
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Brand Name
DARIO BLOOD GLUCOSE MONITORING SYSTEM
Common Device Name
GLUCOMETER
Manufacturer (Section D)
LABSTYLE INNOVATIONS LTD
5 tarshish st
north industrial park
caesarea, 30798 21
IS  3079821
Manufacturer Contact
5 tarshish st
north industrial park
caesarea, 30798-21
MDR Report Key22862307
Report Number3010606081-2025-00058
Device Sequence Number7750805
Product Code NBW
UDI-Device Identifier00850065006741
UDI-Public850065006741
Combination Product (Y/N)Y
Initial Reporter StateVA
Initial Reporter CountryUS
PMA/510(K) Number
K150817
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 08/21/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Model Number1021-06
Device Lot Number2403041
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date08/21/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient Age36 YR
Patient SexMale
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