FDA Adverse Event Other Summary report: N

ZYNEX

MDR report key: 1403891 · Received June 16, 2009

Report

Report Number
1723686-2009-00002
Event Type
Other
Date Received
June 16, 2009
Date of Event
March 31, 2008
Report Date
June 16, 2009
Manufacturer
ZYNEX MEDICAL
Product Code
LIH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IS BEING REPORTED AT THE RECOMMENDATION OF (B)(6) , FDA INVESTIGATOR AFTER AN INSPECTION OF ZYNEX MEDICAL ON 6/3/09-6/10/09. CONCLUSION: 6/9/08. PCB INSPECTED, TESTED AND REWORKED BY (B)(4) . REMOVED Q31. PADS FOR PINS 1 AND 2 HAD DISINTEGRATED AND COULD NOT BE SALVAGED. SOLDERED IN NEW (B)(4) (ONLY PIN 3). REMOVED Q30, (B)(4) AND REPLACED IT WITH (B)(4) . SOLDERED IN SHORT, 30 AWG JUMPERS BETWEEN Q31-2 AND Q30-2, AND BETWEEN Q31-1 AND Q30-3. BURNED IN FOR 60 MINUTES USING 12 VDC SUPPLY CONNECTED TO AC ADAPTER JACK. STARTING CURRENT DRAW WAS 400 MA. OUTPUT WAS 42 V PEAK. ENDING CURRENT DRAW WAS 36- MA. TESTED ELECTRODE ALARM AT 4, 20 AND 50 MA. WOULD ONLY WORK AT 4 MA. IMPLEMENTED BALANCE OF ECO 1023. NOTE: (B)(4) SWAP OUT WITH (B)(4) WAS PART OF ECO 1023. QUICK TEST OF CURRENT DRAW AND ELECTRODE ALARM CAPABILITY DID NOT REVEAL ANY SIGNIFICANT CHANGE. REASSEMBLED UNIT. UNIT RELEASED TO THE REPAIR AREA FOR PROCESSING INTO THE USED INVENTORY. CORRECTIVE ACTION: UNIT WILL BE UPDATED PER ECO 1023. NEW REV OF BOARD THAT IS IN THE TEST AND PROTOTYPE PHASE, WILL ELIMINATE THIS PROBLEM FROM OCCURRING.

Description of Event or Problem · 1

PATIENT STATED THAT WHEN THE DEVICE WAS TURNED ON, IT FELT LIKE IT WAS BURNING AND SHOCKING HIM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ZYNEX INTERFERENTIAL ELECTRICAL STIMULATOR LIH ZYNEX MEDICAL IF 8000

Patients

Seq Age Sex Outcome Treatment
1 Other