WELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-08-26 for WELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE manufactured by Welch Allyn.

Event Text Entries

[4814501] (b)(6) fire and rescue responded to (b)(6). The cause of the response was an overheated and smoking welch allyn model 74710 wall mounted transformer. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5038061
MDR Report Key4064266
Date Received2014-08-26
Date of Report2014-08-26
Date of Event2014-08-25
Date Added to Maude2014-09-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameWELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE
Generic NameWELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE
Product CodeERA
Date Received2014-08-26
Model Number74710
Device Sequence No1
Device Event Key0
ManufacturerWELCH ALLYN


Patients

Patient NumberTreatmentOutcomeDate
10 2014-08-26

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