FDA Adverse Event
Injury
Summary report: N
MALEM ALARM
MDR report key: 7973358
·
Received October 16, 2018
Report
- Report Number
- MW5080582
- Event Type
- Injury
- Date Received
- October 16, 2018
- Date of Event
- October 10, 2018
- Report Date
- October 13, 2018
- Manufacturer
- MALEM MEDICAL LTD.
- Product Code
- KPN
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
OUR CLINIC HAS TREATED AN (B)(6) BOY WHOSE NECK CAME IN CONTACT WITH A MALFUNCTIONED MALEM BEDWETTING ALARM. THE BOY'S PARENTS HAD SET UP THE ALARM WHILE THE CHILD SLEPT AT NIGHT. THEY HAVE SAID THAT THE ALARM EXPLODED AT NIGHT FROM HEAT AND BURNT THE BOY'S NECK. THE ALARM CLEARLY SHOWED SIGNS OF OVERHEATING, BATTERY LEAK AND A SHORT CIRCUIT IN THE ELECTRICAL COMPONENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 813030 | MALEM ALARM | ENURESIS ALARM / ALARM, CONDITIONED RESPONSE ENURESIS | KPN | MALEM MEDICAL LTD. | M04S |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |