FDA Adverse Event Summary report: N

FIRST CHOICE TEST STRIP

MDR report key: 19475 · Received December 9, 1994

Report

Report Number
MW4000626
Date Received
December 9, 1994
Report Date
December 9, 1994
Manufacturer
POLYMER TECHNOLOGY CORP.
Product Code
CFR
Report Source
Voluntary report
Reporter Location
MD, US
Reporter Occupation
NO INFORMATION

Narratives

Description of Event or Problem · 1

DR WROTE FOR A CERTAIN BRAND OF STRIPS. ANOTHER CO'S STRIPS WERE DISPENSED. PT IS A 68-YEAR-OLD FEMALE. STRIPS DISPENSEDON 10/26/94. PT DISCOVERED MISTAKE ON 11/14/94.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FIRST CHOICE TEST STRIP TEST STRIP CFR POLYMER TECHNOLOGY CORP.

Patients

Seq Age Sex Outcome Treatment
1 68 YR