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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONAIR CORPORATION CONAIR CORPORATION BIA SCALE

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CONAIR CORPORATION CONAIR CORPORATION BIA SCALE Back to Search Results
Model Number WW912XF
Device Problem Break (1069)
Patient Problem Insufficient Information (4580)
Event Date 07/31/2020
Event Type  malfunction  
Manufacturer Narrative
On (b)(6) 2020 - the consumer did not provide their name or address information. Therefore we are unable to request the product to be returned to the manufacturer for an investigation.
 
Event Description
On (b)(6) 2020 - the consumer claims the product shattered when tapped against the toilet. Injuries did not occur. The consumer did not provide a name or address details.
 
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Brand NameCONAIR CORPORATION
Type of DeviceBIA SCALE
Manufacturer (Section D)
CONAIR CORPORATION
1 cummings poit rd.
stamford,
Manufacturer Contact
1 cummings point rd.
stamford, 
MDR Report Key10482275
MDR Text Key207727933
Report Number1222304-2020-00012
Device Sequence Number1
Product Code MNW
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation
Type of Report Initial
Report Date 08/03/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/02/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Model NumberWW912XF
Was Device Available for Evaluation? No
Is the Reporter a Health Professional?
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No Answer Provided
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 09/02/2020 Patient Sequence Number: 1
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