BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 709928 · Received April 20, 2006

    Report

    Report Number
    709928
    Event Type
    Other
    Date Received
    April 20, 2006
    Date of Event
    April 13, 2006
    Report Date
    April 20, 2006
    Manufacturer
    PRECISION DYNAMICS CORPORATION
    Product Code
    HFX
    Report Source
    User Facility report
    Reporter Location
    IN, US

    Narratives

    Description of Event or Problem · 1

    WHEN UNWRAPPING BLANKETS FROM AROUND INFANT, BLOOD NOTED ON BLANKETS, SHEET AND RIGHT SIDE OF DIAPER. CORD CLAMP OFF AND LYING NEXT TO UMBILICAL CORD. CLOT NOTED AT END OF CORD. CORD RECLAMPED. INFANT PINK, ACTIVE AND ALERT. PEDIATRICIAN NOTIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * CLAMP, UMBILICAL CORD HFX PRECISION DYNAMICS CORPORATION 3505 *

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DA