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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONAIR CORPORATION CONAIR BIA SCALE

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CONAIR CORPORATION CONAIR BIA SCALE Back to Search Results
Model Number WW702W
Device Problem Electrical /Electronic Property Problem (1198)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 11/13/2018
Event Type  malfunction  
Manufacturer Narrative
On (b)(6) 2018 the consumer has agreed to recieve a replacement and will not return the product. Therefore, an investigation cannot be complete.
 
Event Description
On (b)(6) 2018 the consumer claims that the product blew up. The consumer has accepted a replacement will not be returning the product to the manufacturer.
 
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Brand NameCONAIR
Type of DeviceBIA SCALE
Manufacturer (Section D)
CONAIR CORPORATION
1 cummings point rd
stamford 06902
Manufacturer Contact
1 cummings point rd.
stamford, 
MDR Report Key8173413
MDR Text Key130794774
Report Number1222304-2018-00026
Device Sequence Number1
Product Code MNW
UDI-Device Identifier00074108367228
UDI-Public00074108367228
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation
Type of Report Initial
Report Date 11/18/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/18/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Model NumberWW702W
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
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 12/18/2018 Patient Sequence Number: 1
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