FDA Adverse Event Injury Summary report: N

VECTRA GEN 2C COMBO

MDR report key: 2051034 · Received April 4, 2011

Report

Report Number
9616086-2011-00060
Event Type
Injury
Date Received
April 4, 2011
Date of Event
March 9, 2011
Report Date
April 4, 2011
Manufacturer
DJ ORTHOPEDICS DE MEXICO
Product Code
IMG
PMA / PMN Number
K040285
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT RETURNED TO HOSPITAL AFTER TREATMENT WITH BURNS, SEVERITY NOT KNOWN. INVESTIGATION ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VECTRA GEN 2C COMBO COMBO ELECTROTHERAPY/ULTRASOUND IMG DJ ORTHOPEDICS DE MEXICO

Patients

Seq Age Sex Outcome Treatment
1 Other