BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNKNOWN

    MDR report key: 1981197 · Received February 2, 2011

    Report

    Report Number
    MW5019280
    Event Type
    Malfunction
    Date Received
    February 2, 2011
    Date of Event
    September 15, 2010
    Report Date
    February 2, 2011
    Manufacturer
    UNKNOWN
    Product Code
    MPQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    FALSE POSITIVE FOR COCAINE. URINE SCREEN. DIAGNOSIS OR REASON FOR USE: OPIATE CONTRACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN URINE DRUG SCREEN MPQ UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR