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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONAIR CORPORATION CONAIR BMI SCALES

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CONAIR CORPORATION CONAIR BMI SCALES Back to Search Results
Model Number WW711XF
Device Problem Break (1069)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/25/2020
Event Type  malfunction  
Manufacturer Narrative
(b)(6) 2020 the consumer accepted a replacement and will not be providing the defective product to the manufacturer. Therefore an investigation will not occur.
 
Event Description
(b)(6) 2020 the consumer claims the product shattered. Injuries did not occur. The consumer accepted another model of the same product.
 
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Brand NameCONAIR
Type of DeviceBMI SCALES
Manufacturer (Section D)
CONAIR CORPORATION
1 cummings poit rd.
stamford 06902
Manufacturer Contact
1 cummings point rd.
stamford 06902
MDR Report Key10929486
MDR Text Key219961313
Report Number1222304-2020-00029
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 12/01/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/01/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Model NumberWW711XF
Was Device Available for Evaluation? No Answer Provided
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
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 12/01/2020 Patient Sequence Number: 1
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