FDA Adverse Event
Malfunction
Summary report: N
STIMULATOR, ELECTRO-ACUPUNCTURE
MDR report key: 17526485
·
Received August 12, 2023
Report
- Report Number
- MW5133424
- Event Type
- Malfunction
- Date Received
- August 12, 2023
- Report Date
- October 5, 2018
- Manufacturer
- UNKNOWN
- Product Code
- BWK
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT'S ANS DEVICE DIED DUE TO A BATTERY PROBLEM. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 763004 | STIMULATOR, ELECTRO-ACUPUNCTURE | STIMULATOR, ELECTRO-ACUPUNCTURE | BWK | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |