MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-11-29 for NOMAD PRO 2 0.850.0022 manufactured by Aribex.
[93896773]
The unit was returned for evaluation 111 days after the initial report. An evaluation is anticipated. The initial report did not indicate that a reportable event had occurred. A follow-up report will be submitted upon evaluation completion.
Patient Sequence No: 1, Text Type: N, H10
[93896774]
It was reported that the battery is not charging and that the charging cradle of the unit might be a problem. When the battery handset was received, there was a note stating the handset had caught on fire. There was no report of injury, patient or user involvement or impact to patient care.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1017522-2017-00067 |
| MDR Report Key | 7069668 |
| Report Source | HEALTH PROFESSIONAL,USER FACI |
| Date Received | 2017-11-29 |
| Date of Report | 2017-12-12 |
| Date of Event | 2017-07-06 |
| Date Mfgr Received | 2017-07-05 |
| Date Added to Maude | 2017-11-29 |
| 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 | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. ERIKA MARTIN |
| Manufacturer Street | 11727 FRUEHAUF DRIVE |
| Manufacturer City | CHARLOTTE NC 28273 |
| Manufacturer Country | US |
| Manufacturer Postal | 28273 |
| Manufacturer Phone | 7045877241 |
| Manufacturer G1 | ARIBEX |
| Manufacturer Street | 11727 FRUEHAUF DRIVE |
| Manufacturer City | CHARLOTTE NC 28273 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 28273 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | NOMAD PRO 2 |
| Generic Name | EXTRAORAL SOURCE X-RAY SYSTEM |
| Product Code | EHD |
| Date Received | 2017-11-29 |
| Returned To Mfg | 2017-10-31 |
| Model Number | 0.850.0022 |
| Catalog Number | 0.850.0022 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ARIBEX |
| Manufacturer Address | 11727 FRUEHAUF DRIVE CHARLOTTE NC 28273 US 28273 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-11-29 |