BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ELECTRI CORD

    MDR report key: 1963651 · Received January 11, 2011

    Report

    Report Number
    MW5018998
    Event Type
    Malfunction
    Date Received
    January 11, 2011
    Date of Event
    November 15, 2010
    Report Date
    January 11, 2011
    Manufacturer
    ELECTRI CORD MFG CO
    Product Code
    MPD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    POWER CORD STARTED ELECTRICAL FIRE IN A HOSPITAL WORK ROOM. THE FIRE OCCURRED OVER A WEEKEND. NO HARM TO PATIENTS OR STAFF. THE HOSPITAL DID RECEIVE A RECALL FROM FRESENIUS REGARDING POWER CORD, HOWEVER, FURTHER INVESTIGATION DEMONSTRATES THAT THIS CORD APPEARS ON MANY PIECES OF EQUIPMENT IN THE HOSPITAL, NOT JUST MEDICAL EQUIPMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELECTRI CORD POWER CORD MPD ELECTRI CORD MFG CO

    Patients

    Seq Age Sex Outcome Treatment
    1