VAX-D UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-06-05 for VAX-D UNKNOWN manufactured by Unknown.

Event Text Entries

[1267241] My spouse visited a chiropractor in '08 for on-going lower back pain that was intermittent. On the 2nd visit, in the same month, the chiropractor performed a spinal decompression using this device. She was only under the use of the device for less than 5 minutes and she complained of severe pain. We are not sure if it was improperly set up, but the device definitely caused her severe pain, and she has been in chronic back pian since this procedure was performed. She is now in 24x7 pain, requiring prescription pain medicines daily and she may have suffered irreparable damage for the rest of her life. Prior to his procedure, she only suffered occasional pain that otc medication could relieve. I noticed another adverse event report was submitted, that closely matches what my spouse encountered. Her pain now is 24x7 and is much more elevated than previous to this procedure. I would appreciate some feedback on these devices by the fda. Are they periodically checked to ensure they are operating according to specifications? Are the staff that set up the devices certified and trained by qualified personnel. Does the fda regulate who can operate the device.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5011374
MDR Report Key1400298
Date Received2009-06-05
Date of Report2009-06-05
Date of Event2008-03-17
Date Added to Maude2009-06-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVAX-D
Generic NameVAX-D
Product CodeITH
Date Received2009-06-05
Model NumberUNKNOWN
Catalog NumberUNKNOWN
Lot NumberUNKNOWN
Device Expiration Date2001-01-01
OperatorOTHER
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerUNKNOWN
Manufacturer AddressUNKNOWN UNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2009-06-05

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