BIOSITE TRIAGE DRUGS OF ABUSE KIT *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-09-12 for BIOSITE TRIAGE DRUGS OF ABUSE KIT * manufactured by *.

Event Text Entries

[539431] During ed visit urine for drug screen received and tested. Pt c/o that the drug screen positive results were "in error" eleven days later. Pt's specimen retreived and retested. All results negative. Mfr notified, facility received technical bulletin and information detailing possible false positive reactions.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1040410
MDR Report Key759957
Date Received2006-09-12
Date of Report2006-09-05
Date of Event2006-08-11
Date Added to Maude2006-09-15
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBIOSITE TRIAGE DRUGS OF ABUSE KIT
Generic NameURINE TEST KIT
Product CodeMGX
Date Received2006-09-12
Model Number*
Catalog Number*
Lot Number163238
ID NumberNA
Device Expiration Date2007-12-22
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age*
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key747876
Manufacturer*
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2006-09-12

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