BEUDAMED
    FDA Adverse Event Other Summary report: N

    FARRALL INST.

    MDR report key: 174464 · Received June 25, 1998

    Report

    Report Number
    174464
    Event Type
    Other
    Date Received
    June 25, 1998
    Date of Event
    June 17, 1998
    Report Date
    June 25, 1998
    Manufacturer
    FARRALL INSTRUMENT
    Product Code
    CGZ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    AR, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER DOING THE INITIAL STEP IN SWEAT CHLORIDE TESTING, TECHNICIAN NOTICED SMALL BLISTER ON ARM OF PT WHERE SALINE WAS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FARRALL INST. MILLIAM PERE SOURCE CGZ FARRALL INSTRUMENT IPS-16 *

    Patients

    Seq Age Sex Outcome Treatment
    1 2 MO Other