BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HILL IFC

    MDR report key: 9829647 · Received March 12, 2020

    Report

    Report Number
    9829647
    Event Type
    Injury
    Date Received
    March 12, 2020
    Date of Event
    December 15, 2019
    Report Date
    November 6, 2019
    Manufacturer
    HILL IFC
    Product Code
    GZJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PT WENT TO ER AFTER THERAPY TREATMENT AT OUR OFFICE TO RIGHT SHOULDER FOR BURN INJURY. PT TREATED AND RELEASED. DEVICE TAKEN OUT OF TREATMENT AREA NOT IN. NOT AS OF (B)(6) 2019.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    289789 HILL IFC HILL IFC GZJ HILL IFC

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other