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