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