FDA Adverse Event
Malfunction
Summary report: N
WELCH ALLYN, INC.
MDR report key: 10004627
·
Received April 28, 2020
Report
- Report Number
- 10004627
- Event Type
- Malfunction
- Date Received
- April 28, 2020
- Date of Event
- February 20, 2020
- Report Date
- April 21, 2020
- Manufacturer
- WELCH ALLYN, INC.
- Product Code
- FLL
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
SCREEN WENT BLANK TWO TIMES AFTER PROBE PLACED WHILE TAKING TEMP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 469623 | WELCH ALLYN, INC. | THERMOMETER, ELECTRONIC, CLINICAL | FLL | WELCH ALLYN, INC. | 901053 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |