FDA Adverse Event
Injury
Summary report: N
CHATANOOGA VECTRA NEDEK 2761
MDR report key: 3040082
·
Received April 2, 2013
Report
- Report Number
- MW5029624
- Event Type
- Injury
- Date Received
- April 2, 2013
- Date of Event
- March 26, 2013
- Report Date
- April 2, 2013
- Manufacturer
- DJO GLOBAL
- Product Code
- IPF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PT RECEIVED PREMODULATED E-STIM AND MH. DURING TREATMENT, THE E-STIM UNIT SHUT DOWN ON CHANNEL ONE AND GAVE THE ERROR MESSAGE "OVER CURRENT." ELECTRODE PLACEMENTS WERE CHECKED AND APPEARED TO HAVE GOOD CONTACT. CHANNEL WAS SHUT OFF AND RESTARTED. FOLLOWING DAY, PT REPORTED THAT SHE HAD DISCOMFORT THE PRIOR DAY AND WAS BURNED BY THE ELECTRIC STIMULATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 134935 | CHATANOOGA VECTRA NEDEK 2761 | PREMODULATED ELECTRICAL STIMULATION | IPF | DJO GLOBAL | 2761 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR | Required Intervention |