MALEM ALARM FOR BEDWETTING M04S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-20 for MALEM ALARM FOR BEDWETTING M04S manufactured by Malem Medical, Ltd..

Event Text Entries

[180780063] Last night, our daughter was sleeping with her bedwetting alarm and when she wet herself, the alarm gave her a shock in her genitals. She was in excruciating pain and crying when i checked her room. The alarm does not work anymore. It discharged the batteries. This is shock therapy, not normal bedwetting alarm. Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093186
MDR Report Key9739802
Date Received2020-02-20
Date of Report2020-02-18
Date of Event2020-02-17
Date Added to Maude2020-02-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMALEM ALARM FOR BEDWETTING
Generic NameALARM, CONDITIONED RESPONSE ENURESIS
Product CodeKPN
Date Received2020-02-20
Model NumberM04S
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMALEM MEDICAL, LTD.


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-20

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