FDA Adverse Event
Malfunction
Summary report: N
MCKESSON HCG DIPSTICK (25T)
MDR report key: 3928491
·
Received June 6, 2014
Report
- Report Number
- 2027969-2014-00555
- Event Type
- Malfunction
- Date Received
- June 6, 2014
- Date of Event
- May 15, 2014
- Report Date
- May 15, 2014
- Manufacturer
- ALERE SAN DIEGO, INC.
- Product Code
- DKZ
- PMA / PMN Number
- K993203
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION PENDING.
Description of Event or Problem · 1
CALLER ALLEGING RECEIVING UNCONFIRMED FALSE NEGATIVE HCG USING MCKESSON PREGNANCY KIT. NO ADD'L INFO AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 331722 | MCKESSON HCG DIPSTICK (25T) | HCG PREGNANCY TEST | DKZ | ALERE SAN DIEGO, INC. | FHC-111-OBN01 | HCG3080017 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |