MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,health profession report with the FDA on 2019-11-04 for CARDINAL HEALTH RAPID TEST HCG CASSETTE FHC-102 B1077-22 manufactured by Alere San Diego.
Report Number | 2027969-2019-00596 |
MDR Report Key | 9276058 |
Report Source | DISTRIBUTOR,HEALTH PROFESSION |
Date Received | 2019-11-04 |
Date of Report | 2019-11-19 |
Date of Event | 2019-10-09 |
Date Mfgr Received | 2019-11-14 |
Date Added to Maude | 2019-11-04 |
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 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 | CARDINAL HEALTH RAPID TEST HCG CASSETTE |
Generic Name | HCG PREGNANCY TEST |
Product Code | JHI |
Date Received | 2019-11-04 |
Model Number | FHC-102 |
Catalog Number | B1077-22 |
Lot Number | HCG9030102 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ALERE SAN DIEGO |
Manufacturer Address | 9995 SUMMERS RIDGE RD SAN DIEGO CA 92121 US 92121 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-11-04 |