FDA Adverse Event Other Summary report: N

LEGEND XT 4CH COMBO

MDR report key: 1016326 · Received March 21, 2008

Report

Report Number
1022819-2008-00098
Event Type
Other
Date Received
March 21, 2008
Date of Event
March 10, 2008
Report Date
March 17, 2008
Manufacturer
CHATTANOOGA GROUP
Product Code
GZJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

AWAITING RETURN AND EVALUATION OF THE DEVICE. IPF, STIMULATOR, MUSCLE, POWERED,(B)(4); GZI, STIMULATOR, NEUROMUSCULAR, EXTERNAL FUNCTIONAL, (B)(4).

Description of Event or Problem · 1

PATIENT RECEIVED AN INFERENTIAL CURRENT ELECTROTHERAPY TREATMENT. THE PATIENT LATER REPORTED A BURN IN THE TREATMENT AREA. THE BURN WAS REPORTED TO BE IN THE PROXIMITY OF THE ELECTRODE PLACEMENT DURING THE PREVIOUS TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LEGEND XT 4CH COMBO GZJ, STIMULATOR, NERVE, TRANSCUTANEOUS, FOR PAIN RELIEF, 882.5810 GZJ CHATTANOOGA GROUP 2788

Patients

Seq Age Sex Outcome Treatment
1 Other