FDA Adverse Event Malfunction Summary report: N

HENRY SCHEIN ONE STEP+ HCG URINE STRIP TEST

MDR report key: 3023115 · Received February 26, 2013

Report

Report Number
2027969-2013-00166
Event Type
Malfunction
Date Received
February 26, 2013
Date of Event
February 14, 2013
Report Date
February 26, 2013
Manufacturer
ALERE SAN DIEGO INC
Product Code
JHI
PMA / PMN Number
K993203
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

CUSTOMER REPORTED FALSE NEGATIVE URINE HCG RESULTS WITH HENRY SCHEIN ONE STEP+ HCG URINE STRIP TEST THREE TIMES VS. POSITIVE ULTRASOUND RESULTS. CUSTOMER REPORTED THREE FEMALE PTS IN THEIR (B)(6) CAME INTO THE OFFICE TO CONFIRM HOME PREGNANCY TESTS. ALL THREE PTS HAD NEGATIVE RESULTS ON THE HENRY SCHEIN ONE STEP+ HCG URINE STRIP TEST. THE RESULTS WERE POSITIVE BY ULTRASOUND ON ALL THREE PTS. THESE PTS WERE ALL DETERMINED TO BE ABOUT (B)(6) PREGNANT WITH FETAL HEARTBEATS. NO DETAILED INFO WAS PROVIDED ABOUT THE PTS INCLUDING THE DATES OF THEIR LAST MENSTRUAL PERIODS. ALL THREE WERE TAKING PRENATAL VITAMINS. IT WAS ALSO STATED THAT NO TIMER WAS USED DURING THE TESTING AND TESTS WERE READ AT ABOUT ONE MINUTE RATHER THAN THE THREE MINUTES RECOMMENDED IN THE PACKAGE INSERT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
82816 HENRY SCHEIN ONE STEP+ HCG URINE STRIP TEST HCG PREGNANCY TEST JHI ALERE SAN DIEGO INC FHC-101-KHS25 HCG2010086

Patients

Seq Age Sex Outcome Treatment
1