FDA Adverse Event
Injury
Summary report: N
ECARECOMPANION
MDR report key: 9728684
·
Received February 19, 2020
Report
- Report Number
- 1125873-2020-00002
- Event Type
- Injury
- Date Received
- February 19, 2020
- Report Date
- January 30, 2020
- Manufacturer
- VISICU, INC - DUP
- Product Code
- DRG
- UDI-DI
- 00884838084452
- PMA / PMN Number
- K043217
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
A SKIN TEAR OCCURRED WHILE USING THE DEVICE, WHICH REQUIRED MEDICAL INTERVENTION AND/OR ADDITIONAL TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 192170 | ECARECOMPANION | ECAD BP MEDIUM/LG | DRG | VISICU, INC - DUP | 453564551731 | NA | 00884838084452 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |