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 |