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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONAIR CORPORATION CONAIR CORPORATION BIA SCALE

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CONAIR CORPORATION CONAIR CORPORATION BIA SCALE Back to Search Results
Model Number WW701Y
Device Problem Material Disintegration (1177)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 07/05/2019
Event Type  malfunction  
Manufacturer Narrative
On (b)(6) 2019 the consumer accepted a replacement device and has discarded the damaged product. Therefore an investigation will not be completed.
 
Event Description
On 7/8/2019 - the consumer claims that the products shattered into many pieces. No injuries occurred and the consumer accepted a replacement product.
 
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Brand NameCONAIR CORPORATION
Type of DeviceBIA SCALE
Manufacturer (Section D)
CONAIR CORPORATION
1 cummings point rd
stamford 06902
Manufacturer Contact
1 cummings point rd.
stamford, 
MDR Report Key8841075
MDR Text Key194204976
Report Number1222304-2019-00018
Device Sequence Number1
Product Code MNW
UDI-Device Identifier74108303677
UDI-Public74108303677
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Reporter Occupation
Type of Report Initial
Report Date 07/08/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/30/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator
Device Model NumberWW701Y
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 Answer Provided
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 07/30/2019 Patient Sequence Number: 1
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