FDA Adverse Event Injury Summary report: N

N/A

MDR report key: 6249592 · Received January 13, 2017

Report

Report Number
3012316249-2017-00006
Event Type
Injury
Date Received
January 13, 2017
Date of Event
December 19, 2016
Report Date
February 20, 2017
Product Code
GZJ
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE DEVICE WAS RETURNED TO COMPASS HEALTH BRANDS ON 1/26/2017. THE DEVICE WAS TESTED WITHIN SPECIFICATION RANGE - NO DEFECTS/FAILURES WERE FOUND. COMPASS HEALTH BRANDS WAS UNABLE TO DUPLICATE/CONFIRM THE CUSTOMER'S COMPLAINT.

Description of Event or Problem · 1

THE DOCTOR CALLED IN, STATING HE HAS HAD A PATIENT BURNED WHILE BEING TREATED WITH THE QUATTRO 2.5 DEVICE. THE DOCTOR STATED HE WAS USING IF-4P WITH 2 ELECTRODES - WHICH IS SOMETHING YOU JUST DON'T DO. HE HAD EACH ELECTRODES ON ONE TRAP MUSCLE, TOO FAR APART. THE COMPASS HEALTH BRANDS CUSTOMER SERVICE REPRESENTATIVE THAT WORKED ON THIS CASE MENTIONED TO THE DOCTOR THAT YOU HAVE TO USE 4 ELECTRODES WITH THIS THERAPY, AND THE DOCTOR IS REPORTED AS HAVING BEGUN TO RECANT HIS STATEMENT, STATING THAT THEY WERE POSSIBLY USING 4 ELECTRODES - THEN HE SAID THEY WERE MOST LIKELY USING IF-4P - HIS INFORMATION DID NOT FLOW. THE DOCTOR STATED THE PATIENT DID NOT FEEL ANY DISCOMFORT DURING THE TREATMENT. THE BURNS WERE NOTICED WHEN THE ELECTRODES WERE REMOVED. THE END-USER IS NOT REPORTED AS HAVING SOUGHT AFTER OR RECEIVED MEDICAL ATTENTION FOR HIS INJURY, HOWEVER, PER PICTURES PROVIDED OF THE BURNS, BLISTERS ARE EVIDENT & THE BURNS WERE REPORTED AS HAVING STILL BE PRESENT AT THE TIME COMPASS HEALTH BRANDS WAS NOTIFIED OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
34247 N/A N/A GZJ N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 50 YR Other