FDA Adverse Event
Injury
Summary report: N
RED MEDICAL SUPPLIES MEDIUM VISCOSITY ULTRASOUND GEL
MDR report key: 12301587
·
Received August 9, 2021
Report
- Report Number
- MW5103127
- Event Type
- Injury
- Date Received
- August 9, 2021
- Date of Event
- July 31, 2021
- Report Date
- August 6, 2021
- Manufacturer
- UNK
- Product Code
- ITX
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
FELT A BURNING SENSATION WHILE USING THE PRODUCT. ONLY USED PRODUCT TWICE BECAUSE OF THIS. THE FIRST TIME WAS MID (B)(6). THE MOST RECENT WAS USED ON THE EVENING OF SATURDAY, (B)(6) 2021. CLEANED SKIN AND TOOLS THAT HAD THIS PRODUCT ON THEM BOTH EACH TIME. SWITCHED TO AN OIL BASED PRODUCT ON WEDNESDAY (B)(6) 2021 EVERYTHING WAS FINE. NO SIDE EFFECT WITH THE OTHER PRODUCT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1191400 | RED MEDICAL SUPPLIES MEDIUM VISCOSITY ULTRASOUND GEL | TRANSDUCER, ULTRASONIC, DIAGNOSTIC | ITX | UNK | B046 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 36 YR | Other |