FDA Adverse Event Other Summary report: N

INTELECT MOBILE 2CH STIM

MDR report key: 1060938 · Received June 11, 2008

Report

Report Number
1022819-2008-00168
Event Type
Other
Date Received
June 11, 2008
Date of Event
May 22, 2008
Report Date
May 29, 2008
Manufacturer
CHATTANOOGA GROUP
Product Code
IPF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

AWAITING DEVICE RETURN AND EVAL.

Description of Event or Problem · 1

THE PT WAS BEING TREATED IN THE THIGH AND BACK AREA. DURING THE TREATMENT THE PT REPORTED A BURNING SENSATION. IT IS EXPECTED THAT THE CLINICIAN TERMINATED THE TREATMENT UPON THE NOTIFICATION OF THE PT DISCOMFORT. THE CLINICIAN HAD PRESCRIBED THE PREMOD AND MODALITIES FOR THE PATIENT'S SYMPTOMS. THE TREATMENT TIME FOR THE PREMOD WAVEFORM WAS SET TO 20 MINUTES. THE TREATMENT TIME FOR THE RUSSIAN WAVEFORM WAS SET FOR 30 MINUTES. THE CLINICIAN HAD PRESCRIBED THE USE OF CARBON ELECTRODES TO APPLY THE WAVEFORMS. THE DEGREE OF PT INJURY WAS NOT PROVIDED BY THE REPORTING CLINICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTELECT MOBILE 2CH STIM POWER MUSCLE STIMULATOR IPF CHATTANOOGA GROUP 2777

Patients

Seq Age Sex Outcome Treatment
1 Other