FDA Adverse Event Malfunction Summary report: N

WEE SIGHT

MDR report key: 7991512 · Received October 22, 2018

Report

Report Number
1218950-2018-07691
Event Type
Malfunction
Date Received
October 22, 2018
Report Date
September 25, 2018
Manufacturer
PHILIPS MEDICAL SYSTEMS
Product Code
HJN
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

SERIAL NUMBER NOT PROVIDED. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THE WEE SIGHT THAT WAS STORED IN HER PURSE AND MELTED. THERE WAS NO REPORTED PATIENT INCIDENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
830313 WEE SIGHT TRANSILLUMINTOR, BATTERY-POWERED HJN PHILIPS MEDICAL SYSTEMS 1017920 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1