FDA Adverse Event Malfunction Summary report: N

POSEY PREEMIE REMOVABLE ID

MDR report key: 477813 · Received July 22, 2003

Report

Report Number
MW1029274
Event Type
Malfunction
Date Received
July 22, 2003
Date of Event
July 12, 2003
Report Date
July 21, 2003
Manufacturer
J T POSEY COMPANY
Product Code
LDQ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
OR, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PREEMIE REMOVABLE "POSEY" I.D. BAND USED ON PT TO LEFT ANKLE. RIGHT FOOT HAD SEVERAL SURFACE SCRATCHES AND 3 DIFFERENT SMALL "PIN-DOT" AREAS OF PUNCTURE, SMEAR OF BLOOD NOTED ON EDGES OF BAND. THE EDGES OF I.D. BAND UNDER WHITE POSEY LABEL NOTED TO BE VERY HARD AND SHARP. NEOSPORIN APPLIED TO FOOT WITHOUT BAND REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY PREEMIE REMOVABLE ID REMOVABLE ID BAND LDQ J T POSEY COMPANY 4649 *

Patients

Seq Age Sex Outcome Treatment
1 6 DAY Other