NTI TENSION SUPPRESSION SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-03-02 for NTI TENSION SUPPRESSION SYSTEM manufactured by Nti.

Event Text Entries

[18916535] Prescribed the nti-tss device and is experiencing severe dizziness, ear pain and swelling, and vision issues. It is difficult to go about daily activities with these symptoms. Teeth on left side of mouth touch while teeth on right are not. Dentists and ent doctors don't know what to do and are unable to help.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015011
MDR Report Key1623652
Date Received2010-03-02
Date of Report2010-03-02
Date of Event2010-02-06
Date Added to Maude2010-03-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNTI TENSION SUPPRESSION SYSTEM
Generic NameNTI-TSS
Product CodeLQZ
Date Received2010-03-02
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerNTI
Manufacturer AddressMISHAWAKA IN US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-03-02

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