CLARITY MULTISTRIP UROCHECK US - 10SG US-100SG *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2005-11-28 for CLARITY MULTISTRIP UROCHECK US - 10SG US-100SG * manufactured by Rac Medical.

Event Text Entries

[420994] `ptr has been using one bottle of clarity multistrip urocheck 10sg lot# 04825 expiration 10/2007 (the bottle contains the dessicant and is kept properly). Virtually every dipstick has shown a nitrite positive. When rptr compared this against a new bottle (same lot and expiration date), it is obvious that all of these nitrite results are false positive.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1037609
MDR Report Key662186
Date Received2005-11-28
Date Added to Maude2006-01-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCLARITY MULTISTRIP UROCHECK US - 10SG
Generic Name*
Product CodeJMT
Date Received2005-11-28
Model NumberUS-100SG
Catalog Number*
Lot Number04825
ID Number*
Device Expiration Date2007-10-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key651596
ManufacturerRAC MEDICAL
Manufacturer Address141 NW 20TH ST BOCA RATON FL 33431 US


Patients

Patient NumberTreatmentOutcomeDate
10 2005-11-28

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