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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAEMAR MANUFACTURING, LLC C6 MONITOR A13, VERIZON; MCOT MONITOR - A13 - VERIZON

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BRAEMAR MANUFACTURING, LLC C6 MONITOR A13, VERIZON; MCOT MONITOR - A13 - VERIZON Back to Search Results
Model Number 02-02118
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the patient was charging the mcot monitor: a13: verizon and the monitor and charger were overheating.No injuries were reported.A new kit was sent.No additional information was provided.
 
Additional Manufacturer Narrative
It was reproted that the mcot monitor: a13: verizon was charging and overheated.The monitor was returned for investgation.Monitor was inspected for general physical integrity and found to have a melted charge port.See pictures charge port damage.The casing of the monitor was melted near the port.The monitor does not power on.Engineering confirmed that the monitor had a melted charge port.Root cause cannot be determined at this time.The monitor has been sent out for further investigation on the cause of damage.
 
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Brand Name
C6 MONITOR A13, VERIZON
Common Device Name
MCOT MONITOR - A13 - VERIZON
Manufacturer (Section D)
BRAEMAR MANUFACTURING, LLC
1285 corporate center drive
suite 150
eagan MN 55121
Manufacturer (Section G)
BRAEMAR MANUFACTURING, LLC
1285 corporate center drive
suite 150
eagan MN 55121
Manufacturer Contact
beverly okoh
1285 corporate center drive
suite 150
eagan, MN 55121
MDR Report Key22777367
Report Number2133409-2025-00073
Device Sequence Number18504128
Product Code DSI
UDI-Device IdentifierB146C6M90
UDI-Public+B146C6M90
Combination Product (Y/N)N
Initial Reporter StateIN
Initial Reporter CountryUS
PMA/510(K) Number
K153473
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 08/11/2025
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
Operator of Device Lay User/Patient
Device Model Number02-02118
Device Catalogue Number02-02118
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/03/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/21/2025
Initial Report FDA Received Date08/11/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient Age62 YR
Patient SexFemale
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