FDA Adverse Event Other Summary report: N

SPORTX

MDR report key: 417573 · Received September 16, 2002

Report

Report Number
2126518-2002-00001
Event Type
Other
Date Received
September 16, 2002
Report Date
September 16, 2002
Manufacturer
REHABILICARE, INC.
Product Code
GZJ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT RECEIVED SKIN IRRITATION, "BURN", UNDER ELECTRODE. WHICH DEVELOPED BLISTERS ASND SCARRED. PT SEEN BY DR WHO STATED IT WAS A "DEEP TISSUE BURN" AND GAVE PT INJECTIONS FOR SCARRING. SENT PT ANOTHER TYPE OF ELECTRODE TO USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPORTX TENS GZJ REHABILICARE, INC. 7700S *

Patients

Seq Age Sex Outcome Treatment
1 44 YR Other