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 |