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