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