BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHATTANOOGA CPS400

    MDR report key: 3966592 · Received July 25, 2014

    Report

    Report Number
    MW5037499
    Event Type
    Injury
    Date Received
    July 25, 2014
    Date of Event
    July 1, 2014
    Report Date
    July 24, 2014
    Manufacturer
    CHATTANOOGA GROUP INC
    Product Code
    IMG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT CAME INTO THERAPY ON (B)(6) 2014 AND STATED THAT HE HAD BEEN BURNED ON (B)(6) 2014 ON HIS RIGHT LEG AFTER E-STIM USAGE. UPON EXAMINATION OF THE LEG, A SMALL CIRCULAR WOUND WITH A WHITE CENTER WAS FOUND BY HIS KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    436768 CHATTANOOGA CPS400 CHATTANOOGA CPS400 IMG CHATTANOOGA GROUP INC CPS400

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Other