MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2014-01-30 for CONAIR WM52CS manufactured by Conair Corporation.
[4349117]
(b)(6) is aunt of (b)(6). The customer claims to have medical bills for her nephew and had to replace the mattress. She claims cause is due to electrical cord of massager.
Patient Sequence No: 1, Text Type: D, B5
[11629481]
Damaged upon receipt.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1222304-2014-00023 |
| MDR Report Key | 3644792 |
| Report Source | 04 |
| Date Received | 2014-01-30 |
| Date of Report | 2010-10-06 |
| Date of Event | 2010-10-04 |
| Date Mfgr Received | 2010-10-06 |
| Date Added to Maude | 2014-02-26 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Street | 1 CUMMINGS POINT RD. |
| Manufacturer City | STAMFORD CT 06902 |
| Manufacturer Country | US |
| Manufacturer Postal | 06902 |
| Manufacturer Phone | 2033519000 |
| Single Use | 0 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CONAIR |
| Generic Name | MASSAGER |
| Product Code | ISA |
| Date Received | 2014-01-30 |
| Returned To Mfg | 2011-01-19 |
| Model Number | WM52CS |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CONAIR CORPORATION |
| Manufacturer Address | STAMFORD CT US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2014-01-30 |