BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 458119 · Received March 6, 2003

    Report

    Report Number
    MW4003498
    Event Type
    Injury
    Date Received
    March 6, 2003
    Report Date
    March 6, 2003
    Manufacturer
    UNK
    Product Code
    BWJ
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    FAMILY MEMBER SENT A LETTER DESCRIBING HOW THEY FEEL THE PT IS BEING TAKEN IN BY THE REFERENCED HEALTH CLINIC, AND THAT THEY ARE USING AN ACUPUNCTURE TYPE DIAGNOSTIC DEVICE TELLING THE PT OF NUMEROUS CONDITIONS THEY ARE SUFFERING FROM. FAMILY MEMBER ALSO STATES THAT THE PT'S REGULAR MD DOES NOT FEEL THE PT HAS THOSE CONDITIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * VOLL MACHINE BWJ UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization