TEMPA DOT SINGLE USE CLINICAL THERMOMETER 5122

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-03-26 for TEMPA DOT SINGLE USE CLINICAL THERMOMETER 5122 manufactured by 3m Healthcare.

Event Text Entries

[52413] Donor complains of bad taste with use. Thermometers showed blue smeared dot grid when removed. It appears that plastic laminate is leaking. Co to investigate if other complaints received on this lot or investigate possible mishandling in shipping or storage. Two incidents reported. User facility is unsure of unreported incidences.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1011039
MDR Report Key78685
Date Received1997-03-26
Date Added to Maude1997-03-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTEMPA DOT SINGLE USE CLINICAL THERMOMETER
Generic NameSINGLE USE CLINICAL THERMOMETER
Product CodeFQZ
Date Received1997-03-26
Model NumberNA
Catalog Number5122
Lot Number3F476E
ID Number*
Device Expiration Date1998-11-01
OperatorHEALTH PROFESSIONAL
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key78307
Manufacturer3M HEALTHCARE
Manufacturer Address3M CENTER ST PAUL MN 551441000 US


Patients

Patient NumberTreatmentOutcomeDate
10 1997-03-26

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