FDA Adverse Event Malfunction Summary report: N

WELCH ALLYN, INC.

MDR report key: 10008934 · Received April 29, 2020

Report

Report Number
10008934
Event Type
Malfunction
Date Received
April 29, 2020
Date of Event
February 20, 2020
Report Date
April 28, 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

WE HAD A PATIENT WHO HAD AN AXILLARY TEMPERATURE OF 99.5 WITH A HEART RATE OF 181. DUE TO THIS THE RESIDENT PLACED AN ORDER FOR A PIV AND BOLUS. BEFORE DOING THE PARTICLE IMAGE VELOCIMETRY, I RECHECKED THE TEMPERATURE RECTALLY AND IT WAS 102.7. OBVIOUSLY, THIS IS A BIG CONCERN BECAUSE THE PATIENT ALMOST GOT AN INVASIVE PROCEDURE DUE TO AN INACCURATE TEMPERATURE READING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
474304 WELCH ALLYN, INC. THERMOMETER, ELECTRONIC, CLINICAL FLL WELCH ALLYN, INC. 901053

Patients

Seq Age Sex Outcome Treatment
1