FDA Adverse Event Injury Summary report: N

COMPASS HEALTH BRANDS

MDR report key: 11939198 · Received June 4, 2021

Report

Report Number
3012316249-2021-00019
Event Type
Injury
Date Received
June 4, 2021
Report Date
June 4, 2021
Manufacturer
SHENZHEN DONGDIXIN TECHNOLOGY CO, LTD
Product Code
GYB
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
AK, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CUSTOMER STATES UNIT CAUSED A BURN ON A RESIDENTS LOWER BACK. CUSTOMER WANTED TO MAKE NOTE THAT AT THE TIME OF THE INCIDENT, THE MACHINE TURNED ITSELF OFF AND SHOWED AN ERROR MESSAGE. LOOKING AT THE MANUAL, I BELIEVE IT WAS THE ERROR, "THE OUTPUT CURRENT EXCEEDS THE SETTING CURRENT VALUE." I HAD NOT SEEN THIS ERROR CODE BEFORE. AFTER SEEING THIS MESSAGE, THE DEVICE WAS RESTARTED AND THE TREATMENT WAS CONTINUED FOR 8 MORE MINUTES AT 53V. WHEN THE ELECTRODE PADS WERE REMOVED, THERE WAS NO EVIDENCE OF ABNORMALITY ON THE SKIN. THE ELECTRODES USED WERE VALUTRODE, REF #CF5050. THEY ALSO WANTED TO EMPHASIZE THAT THE PACK WAS NEW FOR THAT TREATMENT. THE MACHINE WAS OPERATED BY A PHYSICAL THERAPIST. RELEVANT MEDICAL CONDITIONS: S/P CERVICAL AND LUMBAR LAMINECTOMIES W/ HISTORY OF SEVER STENOSIS C2-C5. THE BURNS ARE DESCRIBED AS '4 FULL-THICKNESS BURNS UNDER PLACEMENT OF ELECTRODES. THE INTERFERENTIAL WAVEFORM WAS BEING USED AT INTENSITY OF 64 MILLIAMPS WITH NO MODULATED PULSE. THE LEADS HAD NOT BEEN REPLACED IN THE LAST 6 MONTHS. NO OINTMENT OR SOLVENT WAS APPLIED PRIOR TO ELECTRODES. THE DEVICE WAS POWERED DOWN WHEN THE ELECTRODES WERE MOVED. THE HAVE READ THE INSTRUCTION MANUAL. THE BURNS ARE ONGOING, 2 WEEKS, AND THE PATIENT WAS REFERRED TO A WOUND SPECIALIST BY A NURSE. THEY WERE USING 4 ELECTRODES THAT WERE ABOUT 4 INCHES APART. FURTHER CLARIFIES THE SETTING AS '64V AT PRESET SETTINGS: 80HZ - 150HZ FOR 1 MINUTE. THE PATIENT DID NOT HAVE METAL IMPLANTS, AS FAR AS THE END USER IS AWARE. 'THE ELECTRODES USED WERE 2" X 2" CLOTH SQUARE VALUTRODE ELECTRODES. ALL FOUR WERE PLACED 1.5" BILATERALLY OF THE SPINAL COLUMN AT LEVEL L3-L5, APPROXIMATELY 3 INCHES APART VERTICALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
839706 COMPASS HEALTH BRANDS THERATOUCH CX4 GYB SHENZHEN DONGDIXIN TECHNOLOGY CO, LTD DQ8200

Patients

Seq Age Sex Outcome Treatment
1 67 YR Required Intervention