FASTEMP RECTAL ISO - CHAMBER 202036

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2006-06-29 for FASTEMP RECTAL ISO - CHAMBER 202036 manufactured by Tyco Healthcare / Kendall.

Event Text Entries

[21695082] It was reported to tyco healthcare/kendall on 6/14/2006 that a customer has a problem with a fastemp rectal thermometer. The customer stated that "the measuring probe had burst. " this happened during the measuring process. The hospital put a sleeve/cover over the fastemp. After removing the fastemp they realized that the tip of the probe had exploded and the measuring sensor was open.
Patient Sequence No: 1, Text Type: D, B5


[21866141] An investigation is currently underway, results will be forwarded upon completion.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1310379-2006-00014
MDR Report Key734293
Report Source06
Date Received2006-06-29
Date of Report2006-06-14
Date Reported to Mfgr2006-06-14
Date Mfgr Received2006-06-14
Date Added to Maude2006-07-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactJILL SARAIVA
Manufacturer Street15 HAMPSHIRE STREET
Manufacturer CityMANSFIELD MA 02048
Manufacturer CountryUS
Manufacturer Postal02048
Manufacturer Phone5082616625
Manufacturer G1TYCO HEALTHCARE / KENDALL
Manufacturer Street986 FAICHNEY DRIVE
Manufacturer CityWATERTOWN NY 13601
Manufacturer CountryUS
Manufacturer Postal Code13601
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFASTEMP RECTAL ISO - CHAMBER
Generic NameRECTAL THERMOMETER
Product CodeFLK
Date Received2006-06-29
Model Number202036
Catalog Number202036
Lot NumberSN: G0516359
ID Number*
OperatorUNKNOWN
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key722164
ManufacturerTYCO HEALTHCARE / KENDALL
Manufacturer Address986 FAICHNEY DRIVE WATERTOWN NY 13601 US
Baseline Brand NameFASTEMP RECTAL ISO - CHAMBER
Baseline Generic NameRECTAL THERMOMETER
Baseline Model No202036
Baseline Catalog No202036
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
10 2006-06-29

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