FDA Adverse Event
Injury
Summary report: N
DEB/EKG PADS
MDR report key: 4992986
·
Received August 4, 2015
Report
- Report Number
- MW5055267
- Event Type
- Injury
- Date Received
- August 4, 2015
- Report Date
- August 4, 2015
- Manufacturer
- HEART SYNC
- Product Code
- MLN
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- 2
Narratives
Description of Event or Problem · 1
MULTIPLE PATIENTS THAT HAVE USED HEART SYNC DEFIB/EKG PADS HAVE HAD SKIN IRRITATIONS AND "BURNS". DATES OF USE: (B)(6) 2015. EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED: YES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 511761 | DEB/EKG PADS | DEFIBRILLATOR PADS | MLN | HEART SYNC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |