FDA Adverse Event
Injury
Summary report: N
TRUE RESULT METER
MDR report key: 5636625
·
Received April 28, 2016
Report
- Report Number
- MW5062102
- Event Type
- Injury
- Date Received
- April 28, 2016
- Date of Event
- January 1, 2012
- Manufacturer
- NIPRO DIAGNOSTICS - TRIVIDIA
- Product Code
- NBW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
TRUE RESULT METER READS DIFFERENTLY; 30-50 PTS. I FELT WEAK AND SHAKY SO I TESTED MY BLOOD SUGAR USING TRUE RESULT METER AND TRUE TEST STRIPS GDH-PQQ SAID 80. I RETESTED USING ONE TOUCH ULTRA SAID I WAS 40. THIS HAPPENS OFTEN, THEN TRUE RESULT METER ERROR COMPANY SAID TO SEND METER BACK. THEY SENT REPLACEMENT TRUE RESULT METER AND TRUE TEST GDH-PQQ TEST STRIPS. I HAVE REPLACED TRUE RESULT METER AT LEAST 5-7 TIMES, EITHER WITH THE COMPANY OR MY (B)(6) COMPLAINING OF INACCURATE READINGS AND ERROR. I'VE TALKED WITH OTHERS HAVING SAME COMPLAINTS. (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 274151 | TRUE RESULT METER | RESULT METER | NBW | NIPRO DIAGNOSTICS - TRIVIDIA | MO8055552 | PS2614 | |
| 274152 | TRUE TEST GDH-PQQ TEST STRIPS | TEST STRIPS | NBW | NIPRO DIAGNOSTICS/TRIVIDIA HEALTH INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 18 YR | Hospitalization| L |