MAUDE MDR 1482200

MDR report key
1482200
Report number
3004096429-2009-00001
Event key
0
Event type
3
Date received
2009-09-16
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Address
31 CH. DE LA VUARPILLIERE NYON 1260 SZ
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DOLORCLASTSHOCKWAVE GENERATOR FOR PAIN RELIEFE.M.S. ELECTRO MEDICAL SYSTEMS S.A.NBNUNKUNKUNKR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12009-09-1601. S

Event Narratives#

D

Patient 1

INAPPROPRIATE USE OF DOLORCLAST ON PT WRIST WITH IRREVERSIBLE DAMAGE.

N

Patient 1

DOLORCLAST IS AN EXTRA CORPOREAL SHOCK WAVE DEVICE INTENDED FOR USE IN TREATING SOFT TISSUE ORTHOPEDIC DISEASES. DOLORCLAST IS INTENDED FOR TREATMENT OF CHRONIC PROXIMALPLANTAR FASCIITIS.