FDA Adverse Event
Injury
Summary report: N
MALEM ENURESIS ALARM
MDR report key: 6185982
·
Received December 16, 2016
Report
- Report Number
- MW5066779
- Event Type
- Injury
- Date Received
- December 16, 2016
- Date of Event
- December 15, 2016
- Report Date
- December 16, 2016
- Manufacturer
- MALEM MEDICAL (BEDWETTING STORE)
- Product Code
- KPN
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
I PRESCRIBED A NOCTURNAL ENURESIS ALARM FOR A (B)(6) FEMALE PT 3 WEEKS AGO. THE PARENT PURCHASED AND USED THE SAME. ON THE SECOND NIGHT, I WAS INFORMED THAT THE CHILD HAS TO BE ADMITTED TO THE EMERGENCY ROOM. THE NOCTURNAL ENURESIS ALARM HAD EXPLODED AND DAMAGED THE SUBJECTS SKIN. THE ALARM HAD OVER HEATED, MALFUNCTIONED AND MELTED ON THE CHILD'S CHEST CAUSING FIRST DEGREE BURNS AND PERMANENT SCARRING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 834368 | MALEM ENURESIS ALARM | MALEM BEDWETING ALARM | KPN | MALEM MEDICAL (BEDWETTING STORE) | MO4S2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 6 YR | Hospitalization| R |