FDA Adverse Event Malfunction Summary report: N

TRUE METRIX

MDR report key: 6662999 · Received June 21, 2017

Report

Report Number
MW5070590
Event Type
Malfunction
Date Received
June 21, 2017
Date of Event
June 20, 2017
Report Date
June 21, 2017
Manufacturer
TRIVDIA HEALTH
Product Code
NBW
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TN, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I AM A TYPE 2 DIABETIC, I TEST FOR GLUCOSE LEVELS USING THE TRUE METRIX STRIPS MANUFACTURED BY TRIVIDA HEALTH OF (B)(6). THE TEST LEVEL VARIES CONSIDERABLY MORE THAN THE STATED PERCENTAGE IN THE PACKAGE INSERT. TODAY THE LEVELS TESTED WITHIN MINUTES WERE 203, 282, 212, 246. THESE LEVELS DICTATE THE AMOUNT OF INSULIN I TAKE AND COULD RESULT IN AN OVERDOSE. I HAVE TESTED MULTIPLE TIMES ON VARIOUS OTHER DAYS WITH SIMILAR RESULTS. IS THE PRODUCT COMPOUNDED: YES. IS THE PRODUCT OVER-THE-COUNTER: NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
439988 TRUE METRIX BLOOD GLUCOSE TEST STRIPS NBW TRIVDIA HEALTH VARIOUS

Patients

Seq Age Sex Outcome Treatment
1 75 YR Other