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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONAIR CORPORATION CONAIR CORPORATION SCALE

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CONAIR CORPORATION CONAIR CORPORATION SCALE Back to Search Results
Model Number WW705
Device Problem Break (1069)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 07/18/2016
Event Type  malfunction  
Manufacturer Narrative
On 8/16/2016 - per our risk management team, no injuries or property damaged occured. The consumer has agreed to receive a replacement product and discarded the original product. Therefore, an investigation is not necessary. Device not returned to manufacturer.
 
Event Description
On 7/12/2016 - the consumer claims that the glass on the product shattered while in use. No injuries occurred.
 
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Brand NameCONAIR CORPORATION
Type of DeviceSCALE
Manufacturer (Section D)
CONAIR CORPORATION
1 cummings point rd
stamford CT 06902
Manufacturer Contact
1 cummings point rd.
stamford, CT 06902
MDR Report Key5879493
MDR Text Key53052454
Report Number1222304-2016-00032
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 07/19/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/16/2016
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator
Device Model NumberWW705
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 Answer Provided
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 08/16/2016 Patient Sequence Number: 1
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