ALLEGIANCE ADULT/INFANT ID WRISTBAND SET * 10119-055A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-08-23 for ALLEGIANCE ADULT/INFANT ID WRISTBAND SET * 10119-055A manufactured by Cardinal Health Medical Products And Services.

Event Text Entries

[675463] The allegiance brand identification wristbands set for mother, father, and infant do not match. The printed id numbers should all match on each band, however, it was discovered that all numbers are out of sequence and do not match. This error has serious ramifications as it poses the threat of mother and infant being mismatched. Existing policies on band wrist ids have been reinforced and our entire healthcare system has been placed on alert. At this time appropriate replacement vendors are being considered.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number904822
MDR Report Key904822
Date Received2007-08-23
Date of Report2007-08-23
Date of Event2007-08-23
Report Date2007-08-23
Date Reported to FDA2007-08-23
Date Added to Maude2007-08-30
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameALLEGIANCE ADULT/INFANT ID WRISTBAND SET
Generic NameID BRACELET, ADULT AND INFANT
Product CodeLDQ
Date Received2007-08-23
Model Number*
Catalog Number10119-055A
Lot Number06-2200-1
ID Number*
Device AvailabilityY
Device Age1 DY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key879656
ManufacturerCARDINAL HEALTH MEDICAL PRODUCTS AND SERVICES
Manufacturer Address1430 WAUKEGAN ROAD MCGAW PARK IL 600856787 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-08-23

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