MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2018-10-17 for COC THC OPI AMP MAMP PCP BZO BAR MTD MDM DOA-21107 manufactured by Alere San Diego, Inc..
[124523980]
Investigation pending.
Patient Sequence No: 1, Text Type: N, H10
[124523981]
The customer reported receiving positive amp, coc, and thc results on two donors using two multi-drug 10 panel cups. The donors denied having drugs in their system. Testing was performed on an alternate lot of multi-drug 10 panel cups and produced negative results. The positive results occurred on 2 devices out of 4 devices used. No laboratory confirmation testing was performed and no additional information available.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2027969-2018-00138 |
| MDR Report Key | 7974963 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2018-10-17 |
| Date of Report | 2018-10-17 |
| Date Mfgr Received | 2018-12-20 |
| Date Added to Maude | 2018-10-17 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | YA-LING KING |
| Manufacturer Street | 9975 SUMMERS RIDGE ROAD |
| Manufacturer City | SAN DIEGO CA 92121 |
| Manufacturer Country | US |
| Manufacturer Postal | 92121 |
| Manufacturer Phone | 8588052084 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | COC THC OPI AMP MAMP PCP BZO BAR MTD MDM |
| Generic Name | ENZYME IMMUNOASSAY, COCAINE AND COCAINE METABOLITES |
| Product Code | DIO |
| Date Received | 2018-10-17 |
| Returned To Mfg | 2018-11-28 |
| Model Number | DOA-21107 |
| Lot Number | DOA7100507 |
| Device Expiration Date | 2019-10-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALERE SAN DIEGO, INC. |
| Manufacturer Address | 9975 SUMMERS RIDGE ROAD SAN DIEGO CA 92121 US 92121 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-10-17 |