POSEY PREEMIE REMOVABLE ID 4649 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-07-22 for POSEY PREEMIE REMOVABLE ID 4649 * manufactured by J T Posey Company.

Event Text Entries

[21691286] Preemie removable "posey" i. D. Band used on pt to left ankle. Right foot had several surface scratches and 3 different small "pin-dot" areas of puncture, smear of blood noted on edges of band. The edges of i. D. Band under white posey label noted to be very hard and sharp. Neosporin applied to foot without band removed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1029274
MDR Report Key477813
Date Received2003-07-22
Date of Report2003-07-21
Date of Event2003-07-12
Date Added to Maude2003-08-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePOSEY PREEMIE REMOVABLE ID
Generic NameREMOVABLE ID BAND
Product CodeLDQ
Date Received2003-07-22
Returned To Mfg2003-06-21
Model Number4649
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key466621
ManufacturerJ T POSEY COMPANY
Manufacturer Address3635 PECK ROAD ARCADIA CA 91006 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2003-07-22

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