3M? RED DOT? MONITORING ELECTRODES N/A 2670-5

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2019-02-01 for 3M? RED DOT? MONITORING ELECTRODES N/A 2670-5 manufactured by 3m Health Care.

Event Text Entries

[134769613] Lot number was not provided. Without a lot number, expiration date and manufacture date cannot be determined.
Patient Sequence No: 1, Text Type: N, H10


[134769614] A hospital imaging manager alleged three 2670-5 3m? Red dot? Soft cloth monitoring electrodes were applied to a patient in the emergency room. A few hours following application of the electrodes, the patient was transferred to the imaging area for an mri procedure. The patient did not have cardiac monitoring during the mri, but the electrodes were reportedly left on his skin. The patient stated he felt pain under the electrodes during the mri but did not say anything until the test was completed. The patient allegedly experienced circular burns under the electrode stubs. He was seen by a physician in the er and was treated with rx silvadene cream.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2110898-2019-00019
MDR Report Key8297707
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2019-02-01
Date of Report2019-02-01
Date of Event2019-01-12
Date Mfgr Received2019-01-15
Date Added to Maude2019-02-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDIANNE GIBBS
Manufacturer Street3M CENTER, BUILDING 275-5W-06
Manufacturer CityST. PAUL MN 55144
Manufacturer CountryUS
Manufacturer Postal55144
Manufacturer Phone6517379117
Manufacturer G13M CANADA COMPANY
Manufacturer Street400 ROUTE 100
Manufacturer CityMORDEN, R6M 1Z9
Manufacturer CountryCA
Manufacturer Postal CodeR6M 1Z9
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name3M? RED DOT? MONITORING ELECTRODES
Generic NameECG ELECTRODE
Product CodeDRX
Date Received2019-02-01
Model NumberN/A
Catalog Number2670-5
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
Manufacturer3M HEALTH CARE
Manufacturer Address2510 CONWAY AVE ST. PAUL MN 55144 US 55144


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-02-01

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