FDA Adverse Event Injury Summary report: N

MW5058129

MDR report key: 5250177 · Received November 23, 2015

Report

Report Number
MW5058129
Event Type
Injury
Date Received
November 23, 2015
Date of Event
September 15, 2015
Report Date
November 23, 2015
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 0

ADD'L INFO RECEIVED FROM REPORTER ON 01/12/2016. TINGLING SENSATION IN CALVES. I COULD NOT SLEEP FOR MANY NIGHTS FOLLOWING USE OF DEVICE DUE TO MUSCLE SPASMS (TWITCHING) OF CALVES AND LOWER BACK. ALSO HAPPENING VARIOUS TIMES DURING THE DAY. I EXPERIENCED WEAKNESS AND LACK OF COORDINATION. SOMETIMES FEELING I WAS GOING TO DROP AND NEEDED SUPPORT. LATER I HAD MUSCLE CRAMPING PROBLEMS AS WELL. I ADVISED (B)(6) BEFORE HAND. I DID NOT WANT ANY ELECTRO STIM. HE DID NOT HEED WARNING. TOLD HIM I HAD BAD RESULTS IN PAST. TEN UNITS. PHYSICAL THERAPY: (B)(6) 2015, (B)(6) 2015. (B)(6).

Description of Event or Problem · 0

REPORTER WAS TREATED AT THE PHYSICAL THERAPIST'S OFFICE BY USE OF INTERFERENTIAL CURRENT AT HIS LOWER BACK. HE EXPERIENCED TINGLING AT HIS LOWER LEG AND CALF. MUSCLE SPASMS AT HIS LOWER BACK. THIS DISCOMFORT KEEPS HIM AWAKE. HE SUSPECTS NERVE DAMAGE RESULTING TO NEUROPATHY.

Description of Event or Problem · 1

ADD'L INFO RECEIVED FROM MFR ON 12/29/2015: WE AT DJO, LLC HAVE RECEIVED AND REVIEWED MW5058129: OUR REVIEW TEAM WAS ABLE TO CONTACT THE PT, AND CLINIC WITH THE PT PERMISSION FOR ADD'L DETAILS. PER THE PT RESPONDING TO OUR REQUEST, THE UNIT INVOLVED WITH THIS EVENT WAS NOT A DJO, LLC DEVICE. THE DATA GIVEN FOR THE DEVICE IS AS FOLLOWS: MFR: HENLEY INTERNATIONAL; BRAND NAME: ENDOMED 433, RISK CLASS 2G; MODEL # 1433.902; SERIAL # (B)(4),

Patients

Seq Age Sex Outcome Treatment
0 Other