MAICO MA27 SCREENING AUDIOMETER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-04-07 for MAICO MA27 SCREENING AUDIOMETER manufactured by Maico Diagnostics.

Event Text Entries

[463967] Failure of maico ma27 screening audiometer. Attenuator was found to be defective and was replaced.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1038443
MDR Report Key707597
Date Received2006-04-07
Date of Report2006-04-07
Date of Event2006-01-16
Date Added to Maude2006-05-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMAICO MA27 SCREENING AUDIOMETER
Generic NameSCREENING AUDIOMETER
Product CodeEWO
Date Received2006-04-07
Model NumberMA27
Catalog NumberMA27
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key696645
ManufacturerMAICO DIAGNOSTICS
Manufacturer Address7625 GOLDEN TRIANGLE DR EDEN PRAIRIE MN 55344 US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-04-07

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