FDA Adverse Event Other Summary report: N

NEWMARK PAINMASTER MCT PATCH

MDR report key: 1525950 · Received November 10, 2009

Report

Report Number
1226514-2009-00001
Event Type
Other
Date Received
November 10, 2009
Date of Event
October 23, 2009
Report Date
November 2, 2009
Manufacturer
NEWMARK, INC.
Product Code
LBF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN EXTREMELY UNUSUAL EVENT. NEWMARK HAS BEEN MARKETING AND DISTRIBUTING MICRO CURRENT PRODUCT FOR SEVERAL YEARS. WE HAVE NEVER RECEIVED A REPORT OF THIS TYPE NOR HAS ANY OF OUR TESTING OR EVALS SUGGESTED SIMILAR CONDITIONS EXPERIENCED BY THE PT. THE DEVICE WAS NOT RETURNED AND WE CANNOT DETERMINE THE CAUSE OF THIS EVENT.

Description of Event or Problem · 1

CONSUMER ALLEGED THAT WHILE USING THE MCT MICRO CURRENT PATCH, HE DEVELOPED A METALLIC TASTE IN HIS MOUTH AND FELT LIKE THE BLOOD VESSELS IN HIS HEAD WERE "POUNDING" AND FELT LIGHTHEADED. THERE WERE NO REPORTED PT INJURIES AND THE PT REPORTED THAT THE SYMPTOMS DISAPPEARED AFTER REMOVING THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEWMARK PAINMASTER MCT PATCH TENS, MICROCURRENT NERVE STIMULATOR LBF NEWMARK, INC. 7500 UNK

Patients

Seq Age Sex Outcome Treatment
1 56 YR Other