BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NUPREP

    MDR report key: 10132991 · Received June 8, 2020

    Report

    Report Number
    MW5094901
    Event Type
    Injury
    Date Received
    June 8, 2020
    Date of Event
    May 25, 2020
    Report Date
    June 5, 2020
    Manufacturer
    D. O. WEAVER AND COMPANY
    Product Code
    DRX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2020 EEG PERFORMED FOR A RECORDING DURATION OF 20:06 MINUTES UTILIZING NUPREP 10/20 EEG PASTE AND GAUZE PADS. NO TAPE WAS USED. ON (B)(6) 2020 WOUND CARE REPORTED "MULTIPLE AREAS TO FOREHEAD WITH POSSIBLE BREAKDOWN FROM EEG PERFORMED SINCE ADMISSION DUE TO CHEMICAL BURNS"; 10/20 AN - AS NECESSARY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    590671 NUPREP ELECTRODE, ELECTROCARDIOGRAPH DRX D. O. WEAVER AND COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR