FDA Adverse Event
Injury
Summary report: N
WITOUCH PRO
MDR report key: 8843245
·
Received July 30, 2019
Report
- Report Number
- 3008585473-2019-00006
- Event Type
- Injury
- Date Received
- July 30, 2019
- Date of Event
- October 2, 2014
- Report Date
- July 30, 2019
- Manufacturer
- HOLLYWOG, LLC
- Product Code
- NUH
- PMA / PMN Number
- K120500
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS COMPLAINT WAS FOUND ON THE INTERNET DURING POSTMARKET SURVEILLANCE OF ANONYMOUS CUSTOMER REVIEWS WITH LIMITED INFORMATION PROVIDED FOR AN INVESTIGATION. THE CERTIFICATES OF COMPLIANCE FOR THE GEL PADS WERE REVIEWED BY THE QMS MANAGEMENT REPRESENTATIVE FOR A PERIOD OF TWO YEARS PRIOR TO THE DATE OF THE ANONYMOUS CUSTOMER REVIEW DATE SHOWN ON THE INTERNET. THIS REVIEW SHOWED THE GEL PADS WERE SUPPLIED TO SPECIFICATION.
Description of Event or Problem · 1
THE PADS ARE FINE BUT THEY GIVE ME A BAD RASH AND OTHERS MAY EXPERIENCE THAT AS WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 634659 | WITOUCH PRO | TRANSCUTANEOUS ELECTRICAL NERVE SIMULATOR | NUH | HOLLYWOG, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Disability |