RICHMAR AUTOSOUND 9.6

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-06-01 for RICHMAR AUTOSOUND 9.6 manufactured by .

Event Text Entries

[20306652] Small circular reddened area the size of a pencil eraser head was noted on pt's right low back prior to the beginning of the 10th physical therapy treatment session. Skin integrity was intact without open sore/wound. Pt did not voice complaint about skin integrity or notice reddened area on right low back. Pt was advised to right skin irritation on low back and advised to monitor skin integrity.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5016151
MDR Report Key1711466
Date Received2010-06-01
Date of Report2010-06-01
Date of Event2010-04-14
Date Added to Maude2010-06-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameRICHMAR
Generic NameSTIMULATOR
Product CodeIPF
Date Received2010-06-01
Model NumberAUTOSOUND 9.6
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0

Device Sequence Number: 2

Brand NameGENTLE STIM CONTROL
Generic NameINTERFERENTIAL >30 MA
Product CodeLIH
Date Received2010-06-01
Lot Number60221108043
ID NumberAV= AXE62096
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No2
Device Event Key0
ManufacturerNATIONAL MEDICAL ALLIANCE


Patients

Patient NumberTreatmentOutcomeDate
10 2010-06-01

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