FDA Adverse Event
Injury
Summary report: N
AUVON DUAL CHANNEL TENS UNIT MUSCLE STIMULATOR MACHINE WITH 20 MODES
MDR report key: 11154437
·
Received January 11, 2021
Report
- Report Number
- MW5098765
- Event Type
- Injury
- Date Received
- January 11, 2021
- Date of Event
- December 30, 2020
- Report Date
- January 8, 2021
- Manufacturer
- SHENZHEN YUWEN E-COMMERCE CO.,/ SHEN ZHEN AS TEC TECHNOLOGY CO LTD
- Product Code
- NUH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
BURN(S); ERYTHEMA; ITCHING, IT IS A TENS PRODUCT. MODEL NO. AS8012. BOUGHT ON (B)(6) FOR TRAPS AND NECK PAIN. USED ONCE ON A FRIDAY AND WOKE UP SATURDAY WITH SKIN PETECHIAE/ELECTRICAL BURNS ON LEFT HAND AND FOREARM. THE BRAND NAME IS (B)(6). THE PRODUCT LINK IS (B)(6) THE SELLER NAME IS: (B)(4). MANUFACTURER IS: SHENZHEN AS-TEC TECHNOLOGY CO., LTD. FDA SAFETY REPORT ID #: (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 41258 | AUVON DUAL CHANNEL TENS UNIT MUSCLE STIMULATOR MACHINE WITH 20 MODES | STIMULATOR, NERVE, TRANSCUTANEOUS, OVER-THE-COUNTER | NUH | SHENZHEN YUWEN E-COMMERCE CO.,/ SHEN ZHEN AS TEC TECHNOLOGY CO LTD | AS8012 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | Hospitalization| O| R| S |