FDA Adverse Event Injury Summary report: N

KATALYST TRAINING SYSTEM

MDR report key: 19112112 · Received April 15, 2024

Report

Report Number
3014545203-2024-00002
Event Type
Injury
Date Received
April 15, 2024
Date of Event
March 16, 2024
Report Date
April 15, 2024
Manufacturer
KATALYST INTERACTIVE INC.
Product Code
NGX
PMA / PMN Number
K190966
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

MEMBER REPORTED GETTING RHABDOMYOLYSIS AFTER USING KATALYST SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
683117 KATALYST TRAINING SYSTEM Stimulator, muscle, powered, for muscle conditioning NGX KATALYST INTERACTIVE INC. 1064-01-A03 KVAA0100

Patients

Seq Age Sex Outcome Treatment
1 NA Female Hospitalization| O SKU 1065-01-A03 LOT KSAA0103| SKU 1066-01-A03 LOT KAAA0103| SKU 1156-01-D00 LOT SIAB2803