FDA Adverse Event Injury Summary report: N

"NEW SKIN AGE LOC"

MDR report key: 1413533 · Received July 9, 2009

Report

Report Number
MW5011858
Event Type
Injury
Date Received
July 9, 2009
Product Code
GYB
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

RENAL FAILURE E 6FR 29. I HAD PT DC THE DEVICE WITH MEDS & 3 MOS LATER THE E 6FR WAS 53. USED IN CONJUNCTION WITH GALVANIC STIM ON ELECTRO DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 "NEW SKIN AGE LOC" NONE GYB MEDTHRO SKIN

Patients

Seq Age Sex Outcome Treatment
1 54 YR Other