MY CHILD POSITIVE IDENTIFICATION BASIC32-014 02-UTMTX01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-14 for MY CHILD POSITIVE IDENTIFICATION BASIC32-014 02-UTMTX01 manufactured by Mcroberts Security Technologies.

Event Text Entries

[62802799] L&d reported that the mcroberts security system "my child positive identification kit" baby cord clamp id number and the mother's arm band numbers do not match. My baby/mother id system uses a umbilical cord clamp for the baby and an arm band for the mother. We/(b)(6) has three of these that the numbers do not match. The three have been identified prior to use and given to the rm department.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5066768
MDR Report Key6185795
Date Received2016-12-14
Date of Report2016-12-14
Date of Event2016-11-15
Date Added to Maude2016-12-19
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 NameMY CHILD POSITIVE IDENTIFICATION
Generic NameMY CHILD POSITIVE IDENTIFICATION
Product CodeHFW
Date Received2016-12-14
Model NumberBASIC32-014
Catalog Number02-UTMTX01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMCROBERTS SECURITY TECHNOLOGIES
Manufacturer AddressLAKEWOOD NJ 08701 US 08701


Patients

Patient NumberTreatmentOutcomeDate
10 2016-12-14

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