FDA Adverse Event Injury Summary report: N

ANODYNE THERAPY

MDR report key: 3313383 · Received August 20, 2013

Report

Report Number
1055581-2013-00003
Event Type
Injury
Date Received
August 20, 2013
Date of Event
July 16, 2013
Report Date
July 25, 2013
Manufacturer
ANODYNE THERAPY, LLC
Product Code
ILY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE SYSTEM INVOLVED IN THIS COMPLAINT WAS RETURNED FOR EVAL AFTER PT REPORTEDLY DEVELOPED A 2ND DEGREE BURN THE SIZE OF A QUARTER ON THE RT CALF FOLLOWING TREATMENT WITH AN ANODYNE THERAPY PROFESSIONAL SYSTEM. PT DID RECEIVED MEDICAL INTERVENTION - A TOPICAL ANTIBIOTIC. REPORTED TREATMENT TIME AND INTENSITY WAS WITHIN THE GUIDELINES PROVIDED TO THE USER IN THE IFU MANUAL. UPON EVAL, A DEFECTIVE TRANSISTOR WAS IDENTIFIED; HOWEVER, THERAPY PAD TEMPERATURES DURING SIMULATED USE WERE FOUND TO BE WILL WITHIN LEVELS THAT WOULD NOT BE EXPECTED TO CAUSE A BURN. ADDITIONALLY, THE FACILITY REPORTED THEY USED THIS SAME ANODYNE UNIT ON OTHER PTS WITHOUT INCIDENT AROUND THE SAME TIME AS THE REPORTED INJURY. ACCORDINGLY, ANODYNE IS NOT ABLE TO CONFIRM THAT THIS ANODYNE UNIT CAUSED THE REPORTED INJURY. THE NUMBER OF INCIDENTS OF THIS TYPE REMAIN WITHIN THE EXPECTED RATE FOR THIS PRODUCT BASED UPON THE NUMBER OF INCIDENTS REPORTED AND THE NUMBER OF UNITS IN DISTRIBUTION. COMPANY CONTINUES TO MONITOR AND TREND EVENTS OF THIS TYPE.

Description of Event or Problem · 1

TREATING FACILITY REPORTS A PT DEVELOPED A BURN THE SIZE OF A QUARTER ON THE CALF FOLLOWING AN ANODYNE THERAPY TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
403864 ANODYNE THERAPY INFRARED LAMP ILY ANODYNE THERAPY, LLC 480 NA

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention