*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-08-01 for * manufactured by Wescor, Inc..

Event Text Entries

[18127414] While tech was performing a sweat test on patient's leg, gel disk cracked and patient received a small burn 2cmx2cm area. Pt started to cry, tech checked site and noticed this, stopped testing, applied a&d ointment and notified rn, which in turn notified physician. They ordered bacitracin, then ordered silvadene bid.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2192411
MDR Report Key2192411
Date Received2011-08-01
Date of Report2011-08-01
Date of Event2011-07-19
Report Date2011-08-01
Date Reported to FDA2011-08-01
Date Added to Maude2011-08-05
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameGEL DISC FOR SWEAT TEST
Product CodeKTB
Date Received2011-08-01
Model Number*
Catalog Number*
Lot Number200561
ID Number*
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerWESCOR, INC.
Manufacturer Address370 WEST 1700 SOUTH LOGAN UT 84321 US 84321


Patients

Patient NumberTreatmentOutcomeDate
10 2011-08-01

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