FDA Adverse Event
Injury
Summary report: N
HEALTHMARKER TIME TEMPERATURE INDICATOR
MDR report key: 6442345
·
Received March 24, 2017
Report
- Report Number
- MW5068723
- Event Type
- Injury
- Date Received
- March 24, 2017
- Date of Event
- March 16, 2017
- Report Date
- March 24, 2017
- Manufacturer
- TEMPTIME CORPORATION
- Product Code
- OCI
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
NOTIFIED OF RECENT HOSPITALIZATION FROM INSURANCE CLAIMS. DIAGNOSIS FOR ADMISSION: G40.909 - EPILEPSY UNS NOT INTRACT W/O STATUS EPILEPTICUS. DIAGNOSIS OR REASON FOR USE: R62.52. IS THE PRODUCT COMPOUNDED: NO. IS THE PRODUCT OVER-THE-COUNTER: NO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 214259 | HEALTHMARKER TIME TEMPERATURE INDICATOR | TRANS TRACKER F (HEAT) | OCI | TEMPTIME CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 14 YR |