FDA Adverse Event Injury Summary report: N

DRX9000

MDR report key: 22126344 · Received June 2, 2025

Report

Report Number
MW5170963
Event Type
Injury
Date Received
June 2, 2025
Date of Event
November 11, 2024
Report Date
May 25, 2025
Manufacturer
EXCITE MEDICAL OF TAMPA BAY LLC
Product Code
ITH
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
OK, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

THIS IS FROM THE DRX9000 MACHINE. IT PULLED MY NECK AND CAUSED SEVERE RADIATING PAIN DOWN MY ENTIRE BODY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
717721 DRX9000 EQUIPMENT, TRACTION, POWERED ITH EXCITE MEDICAL OF TAMPA BAY LLC

Patients

Seq Age Sex Outcome Treatment
1 49 YR Female Life Threatening "CLOANAPRNE".| GABAPENTIN.| NAPROXEN.| TIZANIDINE.