FDA Adverse Event
Injury
Summary report: N
INNOVO
MDR report key: 14161647
·
Received April 19, 2022
Report
- Report Number
- MW5109178
- Event Type
- Injury
- Date Received
- April 19, 2022
- Date of Event
- April 1, 2022
- Report Date
- April 16, 2022
- Manufacturer
- ATLANTIC THERAPEUTICS LIMITED
- Product Code
- QAJ
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NJ, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
BAD ELECTRICAL SHOCK; WHILE USING MY INNOVO, I GOT AN ELECTRICAL SHOCK FROM THE SHORTS. I COMPLAINED TO THE COMPANY AND THEY SEND ME OUT A NEW PAIR OF SHORTS. THESE THEN ALSO ELECTROCUTED ME. THE COMPANY THEN OFFER ME A COMPLETELY DIFFERENT PRODUCT ADMITTING THAT THESE SHORTS ARE FAULTY. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2625869 | INNOVO | CUTANEOUS ELECTRODE STIMULATOR FOR URINARY INCONTINENCE | QAJ | ATLANTIC THERAPEUTICS LIMITED | |||
| 2625870 | INNOVO | CUTANEOUS ELECTRODE STIMULATOR FOR URINARY INCONTINENCE | QAJ | ATLANTIC THERAPEUTICS LIMITED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Female | Other | VIT C| VIT D |