FDA Adverse Event
Malfunction
Summary report: N
BIONET
MDR report key: 21499316
·
Received February 28, 2025
Report
- Report Number
- 3003681187-2024-00001
- Event Type
- Malfunction
- Date Received
- February 28, 2025
- Date of Event
- September 3, 2024
- Report Date
- September 30, 2024
- Manufacturer
- BIONET CO., LTD.
- Product Code
- DPS
- PMA / PMN Number
- K113306
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
WE HAVE RECEIVED THE INCIDENT REPORT BUT HAVE NOT YET RECEIVED ANY INFORMATION INDICATING THAT THE INCIDENT WAS CAUSED BY THE DEVICE WE MANUFACTURED. ONCE WE RECEIVE FURTHER INFORMATION FROM THE INSURANCE COMPANY'S INVESTIGATORS, WE WILL TAKE ANY NECESSARY FOLLOW-UP ACTIONS.
Description of Event or Problem · 0
AS THE MANUFACTURER, WE HAVE BEEN NOTIFIED THROUGH OUR IMPORTER/DISTRIBUTOR OF A CLAIM THAT ONE OF OUR PRODUCTS MAY HAVE BEEN INVOLVED IN A FIRE INCIDENT. WE HAVE INITIATED AN INTERNAL INVESTIGATION AND ARE CURRENTLY AWAITING DETAILED ON-SITE INSPECTION REPORTS FROM THE INSURANCE COMPANY AND OUR DISTRIBUTOR TO PROCEED FURTHER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 522594 | BIONET | ECG MACHINE | DPS | BIONET CO., LTD. | CARDIO 7 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |