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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRAEMAR MANUFACTURING, LLC C6 MONITOR A10E, VERIZON; MCOT MONITOR - A10E - VERIZON-ACTIVATED

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BRAEMAR MANUFACTURING, LLC C6 MONITOR A10E, VERIZON; MCOT MONITOR - A10E - VERIZON-ACTIVATED Back to Search Results
Model Number 02-01805
Medical Device Problem Codes Melted (1385); Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/09/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported on (b)(6) 2026 that the charging cable - monitor - a to c was melted into the mcot monitor - a10e - verizon-activated.Patient services (ps) confirmed our charger was the only one used, confirmed that the charger was plugged into a wall outlet.Replacement ordered.No additional information was provided.
 
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Brand Name
C6 MONITOR A10E, VERIZON
Common Device Name
MCOT MONITOR - A10E - VERIZON-ACTIVATED
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 Key25191067
Report Number2133409-2026-00090
Device Sequence Number18814785
Product Code DSI
UDI-Device IdentifierB146C6M70
UDI-Public+B146C6M70/85+7MT29104960E
Combination Product (Y/N)N
Initial Reporter StateOH
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,Followup
Report Date (Section B) 09/14/2026
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 Number02-01805
Device Catalogue Number02-01805
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer04/16/2026
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/16/2026
Supplement Date Received by Manufacturer09/04/2026
Initial Report FDA Received Date05/15/2026
Supplement Report FDA Received Date09/14/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/19/2022
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
CHARGING CABLE - MONITOR - A TO C, 01-01970.
Patient Age20 YR
Patient SexFemale
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