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 |