MAUDE Adverse Event Report: KAZ USA INC BRAUN; THERMOMETER

Model Number IRT-4520

Device Problems False Negative Result (1225); Low Test Results (2458)

Patient Problem Fever (1858)

Event Date 04/20/2015

Event Type  Other  

Event Description

A school nurse reported that her thermometer had allegedly given false negative readings on a student.The device was reading 3 to 4 degrees lower than the patient's actual temperature.The patient was seen by a doctor and a fever was confirmed.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 USA INC; 250 turnpike rd.; southborough MA 01772
• Manufacturer Contact: sonja wilkinson ; 250 turnpike rd.; southborough, MA 01772 ; 5084907236
• MDR Report Key: 4748839
• MDR Text Key: 15320630
• Report Number: 1314800-2015-00036
• 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: Nurse
• Type of Report: Initial
• Report Date: 05/01/2015

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: Health Professional
• Device Model Number: IRT-4520
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: 04/21/2015
• Initial Date FDA Received: 05/01/2015
• 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 Age: 14 YR