BROSELOW TAPE *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-12-23 for BROSELOW TAPE * manufactured by *.

Event Text Entries

[349822] In reviewing the broselow tapes reporter learned that some of the drugs in the reporter's pediatric code carts do not match the concentrations of those on the tapes. A pharmacist discovered the error when someone casually mentioned this dosing tool. The pharmacist wisely asked to look at it and noticed the problem with the drug concentrations.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1030611
MDR Report Key504127
Date Received2003-12-23
Date Added to Maude2004-01-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBROSELOW TAPE
Generic NameBROSELOW TAPE
Product CodeFTY
Date Received2003-12-23
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key492917
Manufacturer*
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
10 2003-12-23

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