BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MUELLER TENNIS ELBOW SUPPORT, MODERATE

    MDR report key: 935309 · Received October 28, 2007

    Report

    Report Number
    MW5004196
    Event Type
    Injury
    Date Received
    October 28, 2007
    Date of Event
    October 10, 2007
    Report Date
    October 28, 2007
    Manufacturer
    MULLER SPORTS MEDICINE, INC.
    Product Code
    IQI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD THE MULLER TENNIS ELBOW SUPPORT WITH GEL PAD ON MY ARM FOR ONE HOUR AND DEVELOPED BLISTERS ON THE CONTACT POINTS FROM THE PAD. I STILL HAD THE BLISTERS AFTER ONE WEEK. DATES OF USE: 2007. EVENT ABATED AFTER USE STOPPED: YES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MUELLER TENNIS ELBOW SUPPORT, MODERATE NONE IQI MULLER SPORTS MEDICINE, INC. 6341 6341

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Other