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