FDA Adverse Event Other Summary report: N

WELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE

MDR report key: 4064266 · Received August 26, 2014

Report

Report Number
MW5038061
Event Type
Other
Date Received
August 26, 2014
Date of Event
August 25, 2014
Report Date
August 26, 2014
Manufacturer
WELCH ALLYN
Product Code
ERA
Report Source
Voluntary report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

(B)(6) FIRE AND RESCUE RESPONDED TO (B)(6). THE CAUSE OF THE RESPONSE WAS AN OVERHEATED AND SMOKING WELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
517751 WELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE WELCH ALLYN MODEL 74710 WALL MOUNTED TRANSFORMER USED AS OTOSCOPE ERA WELCH ALLYN 74710

Patients

Seq Age Sex Outcome Treatment
1