HCG ONE STEP PREGNANCY TEST STRIP (URINE) FHC-101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-02-12 for HCG ONE STEP PREGNANCY TEST STRIP (URINE) FHC-101 manufactured by Alere San Diego.

Event Text Entries

[188842016] Results pending completion of the investigation.
Patient Sequence No: 1, Text Type: N, H10


[188842017] The customer reported that a patient with two at home positive pregnancy tests had a false negative result on an hcg test. An hcg test with a blood sample confirmed pregnancy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2027969-2020-00004
MDR Report Key9703045
Report SourceUSER FACILITY
Date Received2020-02-12
Date of Report2020-02-12
Date of Event2020-01-27
Date Mfgr Received2020-02-07
Date Added to Maude2020-02-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMONIKA BURRELL
Manufacturer Street9975 SUMMERS RIDGE ROAD
Manufacturer CitySAN DIEGO, CA
Manufacturer CountryUS
Manufacturer Phone8052506
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHCG ONE STEP PREGNANCY TEST STRIP (URINE)
Generic NameHCG PREGNANCY TEST
Product CodeJHI
Date Received2020-02-12
Model NumberFHC-101
Lot NumberHCG8090102
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 US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-12

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