CAREONE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-30 for CAREONE manufactured by Unk.

Event Text Entries

[185938675] Caller stated she began to experience negative reactions after using device and starting medications. Symptoms include: physical imbalance, falling, rash over stomach and chest, erythema, itching, tiny ulcers under skin, burning sensation, and vision impairment. She is unable to perform activities of daily living and maintain her job.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093983
MDR Report Key9903199
Date Received2020-03-30
Date of Report2020-03-30
Date of Event2018-03-01
Date Added to Maude2020-03-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameCAREONE
Generic NameNEEDLE, HYPODERMIC, SINGLE LUMEN
Product CodeFMI
Date Received2020-03-30
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK

Device Sequence Number: 2

Brand NameCAREONE
Generic NameNEEDLE, HYPODERMIC, SINGLE LUMEN
Product CodeFMI
Date Received2020-03-30
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-30

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