NITRATEST PAPER 00003-0526-50

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-07-18 for NITRATEST PAPER 00003-0526-50 manufactured by Bristol-myers Squibb Company.

Event Text Entries

[17975087] Labor and delivery nurse reports multiple false negative results. My fear is that prior to receipt, these products may have been exposed to/stored at excessive high temperatures due to the current season.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5021457
MDR Report Key2175256
Date Received2011-07-18
Date of Report2011-07-18
Date of Event2011-07-18
Date Added to Maude2011-07-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNITRATEST PAPER
Generic NamePHENAPHTHAZINE PAPER
Product CodeHIO
Date Received2011-07-18
Catalog Number00003-0526-50
Lot Number8F4601BS
ID Number00003-0526-50
Device Expiration Date2013-06-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerBRISTOL-MYERS SQUIBB COMPANY
Manufacturer AddressPRINCETON NJ 08543 US 08543


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2011-07-18

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