FDA Adverse Event
Injury
Summary report: N
COMPASS HEALTH BRANDS
MDR report key: 20189434
·
Received September 11, 2024
Report
- Report Number
- 3012316249-2024-00016
- Event Type
- Injury
- Date Received
- September 11, 2024
- Report Date
- September 11, 2024
- Manufacturer
- SHENZHEN DONGDIXIN TECHNOLOGY CO., LTD.
- Product Code
- GYB
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
AFFECTED PRODUCTS: B00NCRE4GO - TENS 7000 DIGITAL TENS UNIT WITH ACCESSORIES - TENS UNIT MUSCLE STIMULATOR FOR BACK PAIN RELIEF, SHOULDER PAIN RELIEF, NECK PAIN, SCIATICA PAIN RELIEF, NERVE PAIN RELIEF. ASIN VARIATIONS: NA. CUSTOMER FEEDBACK: [09/10/2024: "DOES NOT STIMULATE. SHOCKS. CAUSED ME TO GO INTO CARDIAC ARREST."].
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1510949 | COMPASS HEALTH BRANDS | TENS 7000 DIGITAL | GYB | SHENZHEN DONGDIXIN TECHNOLOGY CO., LTD. | DT7202 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Hospitalization |