FDA Adverse Event Other Summary report: N

TRUERESULT METER

MDR report key: 5748020 · Received June 21, 2016

Report

Report Number
MW5063004
Event Type
Other
Date Received
June 21, 2016
Date of Event
June 16, 2016
Report Date
June 21, 2016
Manufacturer
TRIVIDIA
Product Code
NBW
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT USED TRUERESULT METER WITH TRUEMETRIX STRIPS (SAME MANUFACTURER). THE STRIP FIT THE MACHINE AND LOOKED LIKE IT WAS WORKING AS USUAL (THIS WAS WITNESSED BY FNP AND MD AS WELL), BUT RECEIVED FALSE READING OF 23. VERIFIED BG ON HOSPITAL METER AND IT WAS 448.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
391747 TRUERESULT METER TRUERESULT METER NBW TRIVIDIA
391748 TRUEMETRIX STRIPS TRUEMETRIX STRIPS NBW TRUVIDIA

Patients

Seq Age Sex Outcome Treatment
1 20 YR