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

Model Number IRT-3020

Device Problem Low Readings (2460)

Patient Problem No Code Available (3191)

Event Date 09/01/2014

Event Type  Other  

Event Description

The consumer reported their thermometer was giving false negative readings on daughter.The device allegedly read 4-5 degrees lower than the child's actual temperature.The false negative readings may have caused a delay in medical attention.The pt seen in the er, and a fever was confirmed.There were no complications from this incident, and the pt is doing fine now.

• Brand Name: BRAUN
• Type of Device: THERMOMETER
• Manufacturer (Section D): KAZ, INC.; 250 turnpicke rd; southborugh MA 01772
• Manufacturer Contact: sonja wilkinson ; 250 turnpicke rd; southborugh, MA 01772 ; 5084907236
• MDR Report Key: 4224019
• MDR Text Key: 4975017
• Report Number: 1314800-2014-00079
• Device Sequence Number: 1
• Product Code: FLL
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K103097
• 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: 10/28/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/30/2014
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Model Number: IRT-3020
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 10/20/2014
• 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
• Patient Age: 2 YR