FDA Adverse Event Injury Summary report: N

CONAIR

MDR report key: 6033147 · Received October 17, 2016

Report

Report Number
1222304-2016-00041
Event Type
Injury
Date Received
October 17, 2016
Date of Event
September 17, 2016
Report Date
September 19, 2016
Manufacturer
CONAIR CORPORATION
Product Code
MNW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON 10/17/2016 - WE HAVE REQUESTED THE DEVICE BE RETURNED TO THE MANUFACTURER. TO DATE, WE HAVE NOT RECEIVED THE DEVICE.

Additional Manufacturer Narrative · 1

ON 10/17/2016, WE HAVE REQUESTED THE DEVICE BE RETURNED TO THE MANUFACTURER. TO DATE, WE HAVE NOT RECEIVED THE DEVICE. ON (B)(6) 2017 ADDED THE UPC CODE TO THE SUPPLEMENTAL EMDR. DEVICE NOT RETURNED TO MANUFACTURER.

Additional Manufacturer Narrative · 1

ON 10/17/2016 - WE HAVE REQUESTED THE DEVICE BE RETURNED TO THE MANUFACTURER. TO DATE, WE HAVE NOT RECEIVED THE DEVICE. ON 1/31/2017 - ADDED THE UPC CODE TO THE SUPPLEMENTAL EMDR. ON 2/15/2017 - MANUFACTURERS NARRATIVE: THE PRODUCT WAS RECEIVED IN THE CONDITION THAT DEEMS IMPOSSIBLE TO PERFORM TESTING DUE TO THE SHATTERED GLASS. THIS OCCURENCE RARELY HAPPENS WITH THIS PRODUCT.

Description of Event or Problem · 1

ON 10/17/2016 - THE CONSUMERS GRANDDAUGHTER ALLEGEDLY DROPPED A BOTTLE ON THE PRODUCT WHICH CAUSE THE GLASS TO SHATTER. THE CONSUMERS GRANDDAUGHTER RECEIVED CUTS ON LEG. NO MEDICAL ATTENTION WAS REQUIRED.

Description of Event or Problem · 1

ON (B)(6) 2016, THE CONSUMERS GRANDDAUGHTER ALLEGEDLY DROPPED A BOTTLE ON THE PRODUCT WHICH CAUSE THE GLASS TO SHATTER. THE CONSUMERS GRANDDAUGHTER RECEIVED CUTS ON LEG. NO MEDICAL ATTENTION WAS REQUIRED.

Description of Event or Problem · 1

(B)(6) 2016 - THE CONSUMER'S GRAND DAUGHTER ALLEGEDLY DROPPED A BOTTLE ON THE PRODUCT WHICH CAUSE THE GLASS TO SHATTER. THE CONSUMER'S GRAND DAUGHTER RECEIVED CUTS ON LEG. NO MEDICAL ATTENTION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
685304 CONAIR BMI SCALE MNW CONAIR CORPORATION WW78

Patients

Seq Age Sex Outcome Treatment
1 65 YR Other