FDA Adverse Event Other Summary report: N

MIST THERAPY SYSTEM

MDR report key: 988826 · Received January 25, 2008

Report

Report Number
3004580659-2008-00001
Event Type
Other
Date Received
January 25, 2008
Date of Event
December 3, 2007
Report Date
January 25, 2008
Manufacturer
CELLERATION, INC.
Product Code
NRB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WAS DELAYED DUE TO SALES REP NOT COMMUNICATING WITH THE MANUFACTURER'S COMPLAINT COORDINATOR IN A TIMELY FASHION. REVIEW OF REPORTING TIME FRAMES WAS DONE WITH SALES REP.

Description of Event or Problem · 1

PHYSICAL THERAPIST TOUCHED THE TIP OF THE TRANSDUCER INTENTIONALLY, WHEN SHE NOTICED THAT THERE WAS NO SALINE COMING OUT OF THE APPLICATOR. SHE RECEIVED A FRICTION BURN TO HER FINGERTIP, BUT HAS HAD NO COMPLICATIONS AS A RESULT OF THE BURN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MIST THERAPY SYSTEM NONE NRB CELLERATION, INC.

Patients

Seq Age Sex Outcome Treatment
1 UNK Other