FDA Adverse Event Injury Summary report: N

FARRALL INSTRUMENTS SWEAT CHLORIDE POTENTIOMETER

MDR report key: 82081 · Received April 8, 1997

Report

Report Number
MW1011111
Event Type
Injury
Date Received
April 8, 1997
Date of Event
March 19, 1997
Report Date
March 31, 1997
Manufacturer
FARRALL INSTRUMENTS
Product Code
KTB
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DURING SWEAT CHLORIDE PROCEDURE, THE NEGATIVE ELECTRODE LEFT A SMALL BURN ON PT'S ARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FARRALL INSTRUMENTS SWEAT CHLORIDE POTENTIOMETER SWEAT CHLORIDE POTENTIOMETER KTB FARRALL INSTRUMENTS IPS-25-A NONE

Patients

Seq Age Sex Outcome Treatment
1 1 YR Other| R