BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FORTE CPS

    MDR report key: 303257 · Received November 2, 2000

    Report

    Report Number
    1022819-2000-00001
    Event Type
    Injury
    Date Received
    November 2, 2000
    Date of Event
    March 24, 2000
    Report Date
    October 12, 2000
    Manufacturer
    CHATTANOOGA GROUP, INC.
    Product Code
    IMG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICAL THERAPIST

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED THIRD DEGREE BURNS UNDER ELECTRODE PADS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FORTE CPS MUSCLE STIMULATOR WITH ULTRASOUND IMG CHATTANOOGA GROUP, INC. 400 COMBO NA

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Required Intervention