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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TRIVIDIA HEALTH INC TRUE METRIX; SYSTEM, TEST BLOOD GLUCOSE, OVER THE COUNTER

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TRIVIDIA HEALTH INC TRUE METRIX; SYSTEM, TEST BLOOD GLUCOSE, OVER THE COUNTER Back to Search Results
Model Number STRIP, TMX WGN 25CT24/CS MG/DL #383237
Medical Device Problem Code High Test Results (2457)
Health Effect - Clinical Code Anxiety (2328)
Date of Event 03/10/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Internal report reference number: (b)(4).B2: adverse event report is being submitted due to symptoms related to diabetes: anxiety.Meter and test strips were not returned for evaluation.Retention testing was performed using test strips from the same lot.Retention strip lot tested within specifications.Most likely underlying root cause: mlc-058: user had an inaccurate reference: self: the person is using themselves as the reference or how they feel at the time they run the blood test.Note: manufacturer contacted customer in several follow-up calls to ensure the customer's condition had improved and the replacement products resolved the initial concern - unable to establish contact with customer at this time.
 
Event or Problem Description
Consumer reported complaint for high blood glucose test results.The customer called concerned with test results from results obtained of 208, 180, 221 and 195 mg/dl.The customer does not know her expected blood glucose test result range.The customer reported feeling anxious and felt it may have been associated to her diabetes; medical attention was not needed at the time of the call.During the call, a back-to-back blood test was not performed by the customer.Per customer, the product is stored according to specification in the living room.The test strip lot manufacturer¿s expiration date is 03/26/2027 and per the customer the open vial date is 1 week.The meter memory was reviewed for previous test result history (customer was unable to see time/date): result 1: 208 mg/dl date: (b)(6) fasting, result 2: 180 mg/dl date: (b)(6) fasting, result 3: 221 mg/dl date: (b)(6) fasting, result 4: 195 mg/dl unknown.
 
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Brand Name
TRUE METRIX
Common Device Name
SYSTEM, TEST BLOOD GLUCOSE, OVER THE COUNTER
Manufacturer (Section D)
TRIVIDIA HEALTH INC
2400 nw 55th court
fort lauderdale FL 33309
Manufacturer Contact
juliana arias
2400 nw 55th court
fort lauderdale, FL 33309
MDR Report Key24788718
Report Number1000113657-2026-00160
Device Sequence Number9845235
Product Code NBW
UDI-Device Identifier00021292007829
UDI-Public(01)00021292007829(17)270326(10)ZD6208S
Combination Product (Y/N)N
PMA/510(K) Number
K140100
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Remedial Action Replace
Type of Report Initial
Report Date (Section B) 04/06/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Model NumberSTRIP, TMX WGN 25CT24/CS MG/DL #383237
Device Lot NumberZD6208S
Was Device Available for Evaluation? No
Distributor Facility Aware Date03/10/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/10/2026
Initial Report FDA Received Date04/06/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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