FDA Adverse Event Injury Summary report: N

BED WETTING ALARM

MDR report key: 6022193 · Received October 9, 2016

Report

Report Number
MW5065338
Event Type
Injury
Date Received
October 9, 2016
Date of Event
October 7, 2016
Report Date
October 9, 2016
Manufacturer
MALEM MEDICAL
Product Code
KPN
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

I HAD RECOMMENDED AN ENURESIS ALARM FOR MY PATIENT. THE MOTHER PURCHASED THE DEVICE FOR TREATMENT OF PRIMARY NOCTURNAL ENURESIS AT (B)(6). THE MOTHER FOLLOWED ALL INSTRUCTIONS FOR USE AND WHEN BATTERIES WERE INSERTED IN THE ALARM TO POWER ON, THE MOTHER ATTACHED IT TO THE SUBJECTS T-SHIRT AND LEFT FOR THE NIGHT. AT NIGHT, THE ALARM OVERHEATED AND EXPLODED CAUSING SEVERE BURNS TO THE CHILD. THE MOTHER CALLED ME UP IMMEDIATELY AND DISCONTINUED THE PRODUCT. THE CHILD HAS BURN MARKS ON HIS NECK AND SCARRING WHICH COULD HAVE BEEN MORE SERIOUS IF NOT ADDRESSED APPROPRIATELY. DIAGNOSIS OR REASON FOR USE: PRIMARY NOCTURNAL ENURESIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
664670 BED WETTING ALARM BED WETTING ALARM KPN MALEM MEDICAL M04

Patients

Seq Age Sex Outcome Treatment
1 4 YR Life Threatening