BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STUBBY RECTAL THERMOMETER

    MDR report key: 34876 · Received July 10, 1996

    Report

    Report Number
    1483039-1996-00012
    Event Type
    Injury
    Date Received
    July 10, 1996
    Date of Event
    June 7, 1996
    Report Date
    July 8, 1996
    Manufacturer
    FAICHNEY MEDICAL CO.
    Product Code
    FLK
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LETTER FROM CHILD'S FATHER INDICATES THAT THERMOMETER'S TIP BROKE OFF INSIDE HIS DAUGHTER'S RECTUM. CHILD WAS TAKEN TO HOSP FOR X-RAYS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STUBBY RECTAL THERMOMETER RECTAL THERMOMETER FLK FAICHNEY MEDICAL CO. NA BA-2-A

    Patients

    Seq Age Sex Outcome Treatment
    1 4 MO Hospitalization