MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2019-01-21 for MULTI-DRUG ONE STEP 5 DRUG SCREEN TEST PANEL DOA-154 manufactured by Alere San Diego, Inc..
[133938442]
Investigation pending.
Patient Sequence No: 1, Text Type: N, H10
[133938443]
Unspecified date: false positive coc on the multi-drug 5 panel screen for 5 patients. Customer states clinical situation does not indicate cocaine use. No identifying patient information provided. No adverse outcomes reported although further information was requested, no further information was provided.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2027969-2019-00007 |
| MDR Report Key | 8265277 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL |
| Date Received | 2019-01-21 |
| Date of Report | 2018-12-27 |
| Date Mfgr Received | 2019-02-20 |
| Date Added to Maude | 2019-01-21 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| 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 RD. |
| 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 | MULTI-DRUG ONE STEP 5 DRUG SCREEN TEST PANEL |
| Generic Name | DRUG SCREEN |
| Product Code | DIO |
| Date Received | 2019-01-21 |
| Model Number | DOA-154 |
| Lot Number | DOA8060224 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| 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 RD SAN DIEGO CA 92121 US 92121 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-01-21 |