MAUDE Adverse Event Report: Nova Biomedical Corp. StatStrip Glucose Hospital Meter System; Glucose monitoring system IVD, point-of-care

Model Number	2.0
Medical Device Problem Code	Output Problem (3005)
Health Effect - Clinical Code	Insufficient Information (4580)
Date of Event	06/15/2026
Type of Reportable Event	Death
Event or Problem Description
Glucose test performed on 3 different meters and different vials of strips.All gave "bad sample" error.
Additional Manufacturer Narrative
Meters serial numbers: (b)(6) were also used on this patient during the reported incident.The initial complaint was received on june 24, 2026.The initial reporter indicated that the patient was admitted to the intensive care unit (icu) and subsequently expired.A reportability assessment was completed, and the event was determined to be reportable on july 1, 2026.A review of the device history record (dhr) was conducted and identified no findings related to the reported event.Dhr showed that all meters were manuafactured on the same date.Follow-up attempts were made to obtain additional clinical information; however, no response has been received from the initial reporter.This complaint remains under formal investigation.A supplemental report will be submitted upon completion of the investigation.Nova will continue to monitor for this and similar events.

• Brand Name: StatStrip Glucose Hospital Meter System
• Common Device Name: Glucose monitoring system IVD, point-of-care
• Manufacturer (Section D): Nova Biomedical Corp.; 200 prospect st; waltham MA 02454
• Manufacturer (Section G): Nova Biomedical Corporation; 165 lexington rd; billerica MA 01821
• Manufacturer Contact: lyra rem ; 39 manning rd; billerica, MA 01821 ; +1(978)439-3681
• MDR Report Key: 50005856
• Report Number: 1219029-2026-00039
• Device Sequence Number: 10242468
• Product Code: PZI
• UDI-Device Identifier: 00385480636858
• UDI-Public: (01)00385480636858(11)251110
• Combination Product (Y/N): N
• Initial Reporter State: CA
• Initial Reporter Country: US
• PMA/510(K) Number: K232075
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 07/23/2026

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?: No
• Operator of Device: Health Professional
• Device Model Number: 2.0
• Device Catalogue Number: 63685
• Device Lot Number: 0325342249
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/24/2026
• Initial Report FDA Received Date: 07/27/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 11/10/2025
• 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: Reuse
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Death
• Patient Sex: Unknown