HCE CUMULA HWN 7633UA N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-13 for HCE CUMULA HWN 7633UA N/A manufactured by Hce (cornell Llc.).

Event Text Entries

[89279474]
Patient Sequence No: 1, Text Type: N, H10


[89279475] When activated, the nurse call would give an audible sound only once and the dome light outside of the room would remain lit. The audible sound is supposed to continue intermittently until the call is answered.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6948130
MDR Report Key6948130
Date Received2017-10-13
Date of Report2017-09-19
Date of Event2017-08-29
Report Date2017-08-30
Date Reported to FDA2017-08-30
Date Reported to Mfgr2017-08-30
Date Added to Maude2017-10-13
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHCE CUMULA
Generic NameNURSE CALL
Product CodeILQ
Date Received2017-10-13
Model NumberHWN 7633UA
Catalog NumberN/A
Lot NumberN/A
ID NumberN/A
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Age20 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerHCE (CORNELL LLC.)
Manufacturer Address410 GRAYSON DRIVE WINDER GA 30680 US 30680


Patients

Patient NumberTreatmentOutcomeDate
10 2017-10-13

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