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