POSITIVE ID INFANT BASIC 31-012

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-02 for POSITIVE ID INFANT BASIC 31-012 manufactured by Mcroberts Security Technologies.

Event Text Entries

[39776218] Nurse was filling out necessary information and noticed the numbering system in the baby bracelet packet did not match. Second bag was obtained and found the same problem.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5060742
MDR Report Key5479563
Date Received2016-03-02
Date of Report2016-01-14
Date of Event2016-01-12
Date Added to Maude2016-03-04
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 FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePOSITIVE ID INFANT
Generic NamePOSITIVE ID INFANT
Product CodeLDQ
Date Received2016-03-02
Returned To Mfg2016-01-14
Model NumberBASIC 31-012
Lot Number120415
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMCROBERTS SECURITY TECHNOLOGIES


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-02

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