MAUDE Adverse Event Report: KAZ, INC. BRAUN; THERMOMETER

Model Number IRT-4520

Device Problem Low Readings (2460)

Patient Problem No Information (3190)

Event Date 04/01/2014

Event Type  Other  

Event Description

A consumer reported that her thermometer had allegedly given a false negative reading.The device was reading in the low range despite their child having a fever.The age and gender of the patient was not given.The child was seen by their doctor and a fever was confirmed.There were no further complications and the patient is doing well now.Kaz has requested that the device be returned to our company for further investigation.

• Brand Name: BRAUN
• Type of Device: THERMOMETER
• Manufacturer (Section D): KAZ, INC.; 250 turnpike road; southborough MA 01772
• Manufacturer (Section G): KAZ, INC.; one vapor trail; hudson NY 12534
• Manufacturer Contact: sonja wilkinson ; 250 turnpike road; southborough, MA 01772 ; 5084907236
• MDR Report Key: 3780969
• MDR Text Key: 21805494
• Report Number: 1314800-2014-00037
• Device Sequence Number: 1
• Product Code: FLL
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K031928
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Consumer
• Reporter Occupation: Not Applicable
• Type of Report: Initial
• Report Date: 04/01/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: IRT-4520
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Initial Date Manufacturer Received: 04/01/2014
• Initial Date FDA Received: 04/23/2014
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1
• Patient Outcome(s): Other