MAUDE MDR 9908046

MDR report key
9908046
Report number
1000113657-2020-00189
Event key
0
Event type
3
Date of event
2020-03-02
Date received
2020-03-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
KAREN DEVINCENT
Address
2400 NW 55TH COURT FORT LAUDERDALE FL 33309 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TRUE METRIXSYSTEM, TEST BLOOD GLUCOSE, OVER THE COUNTERTRIVIDIA HEALTH INCNBWKIT, WALGREENS TMX METERMG/DL #348013RE4H01-81MW3558SY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-310

Event Narratives#

No narrative records found.