FDA Adverse Event Death Summary report: N

TRUE METRIX

MDR report key: 24576118 · Received March 11, 2026

Report

Report Number
1000113657-2026-00105
Event Type
Death
Date Received
March 11, 2026
Report Date
March 11, 2026
Manufacturer
TRIVIDIA HEALTH INC
Product Code
NBW
PMA / PMN Number
K140100
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTERNAL REPORT REFERENCE NUMBER: (B)(4). B2: ADVERSE EVENT REPORT IS BEING SUBMITTED DUE TO REPORTED DEATH ON MEDWATCH UNDER MW5183423 (MDR REPORT KEY (B)(4)). TEST STRIPS WERE NOT RETURNED FOR EVALUATION. METER WAS NOT RETURNED FOR EVALUATION. MLC-028: THERE WAS NOT ENOUGH INFORMATION TO DETERMINE THE MLURC NOTE: MANUFACTURER MADE THREE ATTEMPTS TO CONTACT CUSTOMER VIA EMAIL REQUESTING ADDITIONAL INFORMATION IN REFERENCE TO MEDWATCH MW5183423 - CUSTOMER DID NOT RESPOND TO THE EMAILS.

Description of Event or Problem · 0

MEDWATCH MW5183423 REPORT DATE 10/30/2025 RECEIVED 2/10/2026 DESCRIBING AN EVENT OR PROBLEM AS: "MY FAMILY MEMBER PASSED AWAY WITH USE AND ADJUSTMENTS TO THE TRUE METRIX SELF-MONITORING (B)(6) 2021, (B)(6) HOSPITAL, (B)(6)." NO METER SERIAL NUMBER OR STRIP LOT NUMBER OR CONTACT INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
595731 TRUE METRIX SYSTEM, TEST BLOOD GLUCOSE, OVER THE COUNTER NBW TRIVIDIA HEALTH INC METER, TRUE METRIX BLANKMG/DL

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death| H