BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IVAC TEMP PLUS II PROBE

    MDR report key: 5161530 · Received June 30, 2004

    Report

    Report Number
    5161530
    Event Type
    Malfunction
    Date Received
    June 30, 2004
    Date of Event
    June 24, 2004
    Report Date
    June 29, 2004
    Manufacturer
    ALARIS MEDICAL SYSTEMS
    Product Code
    EXX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RECTAL TEMPERATURE BECAME LOOSE AND THERMOMETER PROBE CAME LOOSE, POSSIBLY REMAINING IN RECTUM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IVAC TEMP PLUS II PROBE RECTAL PROBE EXX ALARIS MEDICAL SYSTEMS 2882A

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Other