BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SOLUTIONS 4CH COMBO PKG

    MDR report key: 2236493 · Received August 25, 2011

    Report

    Report Number
    9616086-2011-00096
    Event Type
    Injury
    Date Received
    August 25, 2011
    Date of Event
    July 29, 2011
    Report Date
    August 25, 2011
    Manufacturer
    DJO GLOBAL
    Product Code
    IMG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT BURNED ON QUAD. APPROXIMATELY 1" DIAMETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOLUTIONS 4CH COMBO PKG ELECTROTHERAPY IMG DJO GLOBAL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other