FDA Adverse Event
Injury
Summary report: N
FAST ABS DELUXE
MDR report key: 386042
·
Received January 24, 2002
Report
- Report Number
- MW4003201
- Event Type
- Injury
- Date Received
- January 24, 2002
- Date of Event
- January 18, 2002
- Report Date
- January 24, 2002
- Manufacturer
- UNK
- Product Code
- IPF
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER APPLIED PALM SIZED DROP OF GEL TO THEIR STOMACH AND TO BASE OF MACHINE PER MFR'S INSTRUCTIONS. CONSUMER TURNED MACHINE TO "ON" POSITION, SET IT AT LEVEL "7" AND PLACED IT ON THE GEL ON THEIR STOMACH. APPROXIMATELY 10 MINS LATER CONSUMER NOTICED RED MARKS ON THEIR STOMACH (REASON WHY UNK). CONSUMER IMMEDIATELY DISCONTINUED USE OF AB MACHINE. THREE DAYS LATER CONSUMER CONTACTED MFR AT TEL# 1-800-648-6618 AND RECEIVED A BUSY SIGNAL. THE NEXT DAY CONSUMER CONTACTED MFR AT TEL#1-800-648-6618 AND RECEIVED A BUSY SIGNAL. THE FOLLOWING DAY CONSUMER CONTACTED MFR AND EXPLAINED INCIDENT TO REP. REP OFFERED TO REFUND CONSUMER $80 PURCHASE PRICE. THE PRODUCT WAS NOT DAMAGED, REPAIRED OR MODIFIED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FAST ABS DELUXE | BATTERY-OPERATED ELECTRONIC ABDOMINAL STRENGTHENING MACHINE | IPF | UNK | UNK | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR |