FDA Adverse Event
Other
Summary report: N
IONTOPHORESIS TREATMENT KIT, MEDIUM SQUARE
MDR report key: 622615
·
Received July 21, 2005
Report
- Report Number
- 2939821-2005-00006
- Event Type
- Other
- Date Received
- July 21, 2005
- Date of Event
- June 1, 2005
- Report Date
- July 20, 2005
- Manufacturer
- NORTH COAST MEDICAL, INC.
- Product Code
- EGJ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PT GIVEN TREATMENT BY PHYSICAL THERAPIST (PT) ON CALF OF LEG WITH DEVICE. AFTER INITIAL PHYSICAL THERAPY SESSION, COMPLAINED TO PT OF RASH ON TREATMENT LOCATION (CALF).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | IONTOPHORESIS TREATMENT KIT, MEDIUM SQUARE | IONTOPHORESIS TREATMENT ELECTRODE | EGJ | NORTH COAST MEDICAL, INC. | NC89251B | 251343-003 RETURN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 47 YR | Other |