WELCH ALLYN SOFT-11

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-16 for WELCH ALLYN SOFT-11 manufactured by Hygia Health Services, Inc..

Event Text Entries

[145256582] Blood pressure cuff exploded while inflating on patients arm. Total of 3 occurrences on this date.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8615483
MDR Report Key8615483
Date Received2019-05-16
Date of Report2019-05-02
Date of Event2019-04-29
Report Date2019-05-02
Date Reported to FDA2019-05-02
Date Reported to Mfgr2019-05-16
Date Added to Maude2019-05-16
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameWELCH ALLYN
Generic NameREPROCESSED BLOOD PRESSURE CUFF
Product CodeNPP
Date Received2019-05-16
Model NumberSOFT-11
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerHYGIA HEALTH SERVICES, INC.
Manufacturer Address432-434 INDUSTRIAL LN. BIRMINGHAM AL 35211 US 35211


Patients

Patient NumberTreatmentOutcomeDate
10 2019-05-16

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