FDA Adverse Event
Malfunction
Summary report: N
WELCH ALLYN, INC.
MDR report key: 19380526
·
Received May 23, 2024
Report
- Report Number
- 19380526
- Event Type
- Malfunction
- Date Received
- May 23, 2024
- Date of Event
- January 22, 2024
- Report Date
- January 31, 2024
- Manufacturer
- WELCH ALLYN, INC.
- Product Code
- DXQ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PATIENT WAS DISCONNECTED FROM THE WALL BLOOD PRESSURE MONITOR PATIENT STATED HER LEFT UPPER ARM WAS ITCHING. TWO HIVES WERE IDENTIFIED ON HER LEFT INNER ARM, PINK AND RAISED, SMALLER THAN DIMES. PATIENT WAS NOT IN DISTRESS AND DIDN'T SCRATCH THEM BUT SHE WAS AWARE OF THEM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1609299 | WELCH ALLYN, INC. | BLOOD PRESSURE CUFF | DXQ | WELCH ALLYN, INC. | 23328 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 20 YR | Unknown |