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. |