FDA Adverse Event Injury Summary report: N

SLENDERTONE ABS S7

MDR report key: 5382408 · Received January 21, 2016

Report

Report Number
8020867-2015-00029
Event Type
Injury
Date Received
January 21, 2016
Date of Event
June 7, 2015
Report Date
November 23, 2015
Manufacturer
BIO-MEDICAL RESEARCH LTD.
Product Code
NGX
PMA / PMN Number
K100320
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE (SERIAL NUMBER (B)(4)) WAS TESTED AND FOUND TO BE OPERATING WITHIN EXPECTED OUTPUT PARAMETER RANGES. THE DEVICE HISTORY RECORD WAS REVIEWED AND THE DEVICE HAS BEEN CONFIRMED TO HAVE MET IT'S SPECIFICATIONS. ON REVIEW OF THE MEDICAL REPORT SUPPLIED TO THE MANUFACTURER, PRE-EXISTING MEDICAL CONDITIONS OF BULIMIA AND STRESS FACTORS WERE DETAILED. AT THIS TIME, NO LINK HAS BEEN ESTABLISHED BETWEEN THE ADVERSE EVENT AND THE USE OF THE SLENDERTONE DEVICE.

Description of Event or Problem · 1

BIO-MEDICAL RESEARCH LTD. WAS NOTIFIED ON JUNE 10, 2015 VIA EMAIL BY IT'S CALL CENTRE THAT THEY HAD RECEIVED A COMPLAINT REGARDING THE SLENDERTONE ABS (PART NUMBER 0390-2008). THE FEMALE CUSTOMER HAD PURCHASED THE DEVICE ON (B)(6) 2015. THE CUSTOMER HAD REPORTED ON USING THE DEVICE 4 TIMES, SHE ENCOUNTERED ISSUES WITH HER HEARTBEAT (RAPID HEARTBEAT). SHE WAS IN HOSPITAL FOR 3 DAYS AND RECEIVED A FULL CHECK-UP. DURING HER HOSPITALIZATION, HER CONDITION WAS REVIEWED AND THE PATIENT WAS DIAGNOSED AS HAVING DYSPNEA WITH HEART PALPITATIONS AND CHEST PAINS. THE PATIENT RECOVERED BUT WAS ADVISED AGAINST FUTURE USE OF THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
41420 SLENDERTONE ABS S7 POWERED MUSCLE STIMULATOR NGX BIO-MEDICAL RESEARCH LTD. 398

Patients

Seq Age Sex Outcome Treatment
1 30 YR Hospitalization