FDA Adverse Event Other Summary report: N

BAXTER BABY INFANT KIT

MDR report key: 34511 · Received July 9, 1996

Report

Report Number
1933255-1996-00001
Event Type
Other
Date Received
July 9, 1996
Date of Event
June 7, 1996
Report Date
July 8, 1996
Manufacturer
FAICHNEY MEDICAL CO.
Product Code
FLK
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT WAS TAKEN TO A MEDICAL CENTER. PARENTS STATED THAT WHILE TAKING RECTAL TEMPERATURE, THE RECTAL THERMOMETER BROKE OFF AT THE EEND OF THE BULB INTO THE PT'S RECTUM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BAXTER BABY INFANT KIT MERCURY THERMOMETER FLK FAICHNEY MEDICAL CO. NA UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 4 MO Other