MEDLINE HCG URINE DIPSTICK FHC-101

MAUDE Adverse Event Report

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 2019-11-11 for MEDLINE HCG URINE DIPSTICK FHC-101 manufactured by Alere San Diego.

MAUDE Entry Details

Report Number2027969-2019-00602
MDR Report Key9307349
Report SourceDISTRIBUTOR,HEALTH PROFESSION
Date Received2019-11-11
Date of Report2019-11-07
Date Mfgr Received2019-10-29
Date Added to Maude2019-11-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactYA-LING KING
Manufacturer Street9975 SUMMERS RIDGE ROAD
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8588052084
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMEDLINE HCG URINE DIPSTICK
Generic NameHCG PREGNANCY TEST
Product CodeJHI
Date Received2019-11-11
Model NumberFHC-101
Lot NumberHCG8080086
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerALERE SAN DIEGO
Manufacturer Address9995 SUMMERS RIDGE RD SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
10 2019-11-11

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