JERON 680

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-09-22 for JERON 680 manufactured by Jeron Electronics.

Event Text Entries

[4923424] Code blue button testing failed - did not announce the code blue. No harm to pt. Testing was also done on 2 additional code buttons that also failed. No harm to pts.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5038350
MDR Report Key4121859
Date Received2014-09-22
Date of Report2014-09-22
Date of Event2014-09-19
Date Added to Maude2014-09-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameJERON
Generic NameCALL SYSTEM-CODE BLUE BUTTON
Product CodeILQ
Date Received2014-09-22
Model Number680
ID NumberAGE 6 MONTHS
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerJERON ELECTRONICS
Manufacturer AddressCHICAGO IL 60660 US 60660


Patients

Patient NumberTreatmentOutcomeDate
10 2014-09-22

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