MYOENERGY INTEGRAL 757B35=0

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-15 for MYOENERGY INTEGRAL 757B35=0 manufactured by Otto Bock Healthcare Products Gmbh.

Event Text Entries

[43625260] The cause of the malfunction is a defective electronic component of the battery charger.
Patient Sequence No: 1, Text Type: N, H10


[43625261] The myo energy integral battery was connected to the charger by the cpo prior to the fitting of an external upper limb prosthesis. After about two (2) hours of charging the battery inflamed. The fire was discovered immediately by an employee around and could be extinguished. No consequences or impact to patient or other persons.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615892-2016-00006
MDR Report Key5580346
Date Received2016-04-15
Date of Report2016-04-15
Date of Event2016-03-21
Date Mfgr Received2016-03-22
Device Manufacturer Date2016-01-14
Date Added to Maude2016-04-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR REINHARD WOLKERSTORFER
Manufacturer StreetBREHMSTRASSE 16
Manufacturer CityVIENNA, VIENNA 1110
Manufacturer CountryAU
Manufacturer Postal1110
Manufacturer G1OTTO BOCK HEALTHCARE PRODUCTS GMBH
Manufacturer StreetBREHMSTRASSE 16
Manufacturer CityVIENNA, VIENNA 1110
Manufacturer CountryAU
Manufacturer Postal Code1110
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMYOENERGY INTEGRAL
Generic NameBATTERY PACK
Product CodeIQZ
Date Received2016-04-15
Returned To Mfg2016-03-24
Model Number757B35=0
Lot Number0012 2016 02
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerOTTO BOCK HEALTHCARE PRODUCTS GMBH
Manufacturer AddressBREHMSTRASSE 16 VIENNA, VIENNA 1110 AU 1110


Patients

Patient NumberTreatmentOutcomeDate
10 2016-04-15

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