FDA Adverse Event Malfunction Summary report: N

TRUE METRIX

MDR report key: 24327617 · Received February 12, 2026

Report

Report Number
1000113657-2026-00057
Event Type
Malfunction
Date Received
February 12, 2026
Date of Event
January 20, 2026
Report Date
February 12, 2026
Manufacturer
TRIVIDIA HEALTH INC
Product Code
NBW
UDI-DI
00021292007836
PMA / PMN Number
K140100
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INTERNAL REPORT REFERENCE NUMBER: (B)(4). METER AND TEST STRIPS WERE NOT RETURNED FOR EVALUATION. RETENTION TESTING WAS PERFORMED USING TEST STRIPS FROM THE SAME LOT. RETENTION STRIP LOT TESTED WITHIN SPECIFICATIONS. MOST LIKELY UNDERLYING ROOT CAUSE: MLC-058: THEMSELVES AS THE REFERENCE OR HOW THEY FEEL AT THE TIME THEY RUN THE BLOOD TEST. NOTE: MANUFACTURER CONTACTED CUSTOMER IN SEVERAL FOLLOW-UP CALLS TO ENSURE THE REPLACEMENT PRODUCTS RESOLVED THE INITIAL CONCERN - UNABLE TO ESTABLISH CONTACT WITH CUSTOMER AT THIS TIME.

Description of Event or Problem · 0

CONSUMER REPORTED COMPLAINT FOR HIGH BLOOD GLUCOSE TEST RESULTS. THE CUSTOMER CALLED CONCERNED WITH TEST RESULTS FROM RESULTS OBTAINED OF 234, 226, 203, 134 AND 168 MG/DL. THE CUSTOMER STATED HIS EXPECTED AM FASTING BLOOD GLUCOSE TEST RESULT RANGE IS 110-120 MG/DL. THE CUSTOMER FEELS WELL AND DID NOT REPORT ANY SYMPTOMS. MEDICAL ATTENTION IS NOT REPORTED AS A RESULT OF THE ACTUAL BLOOD GLUCOSE RESULTS. DURING THE CALL, A BACK-TO-BACK BLOOD TEST WAS NOT PERFORMED BY THE CUSTOMER. PER CUSTOMER, THE PRODUCT IS STORED ACCORDING TO SPECIFICATION IN THE BEDROOM. THE TEST STRIP LOT MANUFACTURER¿S EXPIRATION DATE IS 05/26/2027 AND PER THE CUSTOMER THE OPEN VIAL DATE IS (A MONTH AGO. THE METER MEMORY WAS REVIEWED FOR PREVIOUS TEST RESULT HISTORY (TIME NOT SET): RESULT 1: 234MG/DL, DATE: 1/20, TIME: 2:20PM FASTING AM. RESULT 2: 226MG/DL, DATE: 1/19, TIME:11:45AM FASTING AM. RESULT 3: 203MG/DL, DATE: 1/18, TIME: 12:55PM FASTING AM. RESULT 4: 134MG/DL, DATE: 1/15, TIME: 12:49PM FASTING AM. RESULT 5: 168MG/DL, DATE: 1/13, TIME: 1:51PM FASTING AM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
383524 TRUE METRIX SYSTEM, TEST BLOOD GLUCOSE, OVER THE COUNTER NBW TRIVIDIA HEALTH INC STRIP, LEADER TMX 50CTMG/DL ZD6276S 00021292007836

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown