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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 WW707Y
Device Problem Break (1069)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 01/13/2019
Event Type  malfunction  
Manufacturer Narrative
On (b)(6) 2019 the consumer has accepted a replacement product and will not be returning the device to manufacturer. Therefore an evaluation will not take place.
 
Event Description
On (b)(6) 2019 the consumer claims that the product shattered. No injuries occurred. The consumer has accepted a replacement.
 
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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 Key8304579
MDR Text Key137005988
Report Number1222304-2019-00002
Device Sequence Number1
Product Code MNW
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 01/14/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/05/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Model NumberWW707Y
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?
Type of Device Usage

Patient Treatment Data
Date Received: 02/05/2019 Patient Sequence Number: 1
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