FDA Adverse Event Injury Summary report: N

BELIFU DUAL CHANNEL TENS EMS UNIT 24 MODES MUSCLE STIMULATOR FOR PAIN RELIEF THE

MDR report key: 10991679 · Received December 10, 2020

Report

Report Number
MW5098317
Event Type
Injury
Date Received
December 10, 2020
Date of Event
April 20, 2020
Report Date
December 8, 2020
Manufacturer
SHENZHEN HONGQIANGXING / SHENZHEN OSTO TECHNOLOGY COMPANY LIMITED
Product Code
GZJ
UDI-DI
00321911080500
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

IT IS A TENS PRODUCT. BOUGHT ON (B)(6) FOR TRAPS AND NECK PAIN. USED ONCE ON A FRIDAY AND WOKE UP SATURDAY WITH SKIN PETECHIA/ELECTRICAL BURNS ON LEFT HAND AND FOREARM. THE PRODUCT LINK IS (B)(6). FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1447277 BELIFU DUAL CHANNEL TENS EMS UNIT 24 MODES MUSCLE STIMULATOR FOR PAIN RELIEF THE STIMULATOR, NERVE, TRANSCUTANEOUS, FOR PAIN RELIEF GZJ SHENZHEN HONGQIANGXING / SHENZHEN OSTO TECHNOLOGY COMPANY LIMITED TENS 00321911080500

Patients

Seq Age Sex Outcome Treatment
1 55 YR Other