FDA Adverse Event
Malfunction
Summary report: N
UNOMETER 500 - URINEMETERS
MDR report key: 4340312
·
Received December 10, 2014
Report
- Report Number
- 3007966929-2014-00129
- Event Type
- Malfunction
- Date Received
- December 10, 2014
- Date of Event
- October 28, 2014
- Report Date
- November 16, 2014
- Manufacturer
- UNOMEDICAL LTD.
- Product Code
- EXR
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
BASED ON THE AVAILABLE INFO, THIS EVENT IS DEEMED A REPORTABLE MALFUNCTION. THERE ARE A TOTAL OF NINE (9) CASES ASSOCIATED WITH THIS PRODUCT; THEREFOR,E NINE SEPARATE 3500A FORMS HAVE BEEN GENERATED TO ADDRESS THE OTHER CASES. THERE WERE NO REPORTS OF THE PT BEING HARMED AS A RESULT OF THIS MALFUNCTION. NO ADDITIONAL PT/EVENT DETAILS HAVE BEEN PROVIDED TO DATE. SHOULD ADDITIONAL INFO BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. (B)(4).
Description of Event or Problem · 1
THE HLTH CARE PROFESSIONAL STATED THE BURETTE CONTENTS DRAINED VERY SLOWLY - ALMOST AT A "TRICKLE" PACE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 797721 | UNOMETER 500 - URINEMETERS | URINE FLOW RATE MEASURING NON-ELECTR | EXR | UNOMEDICAL LTD. | 158101310190 | 162015 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |