LEG SENSOR V6 LEFT OR RIGHT TP 7000-0100-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-05-03 for LEG SENSOR V6 LEFT OR RIGHT TP 7000-0100-01 manufactured by Compumedics.

Event Text Entries

[17975289] Three patients received burns on legs at the site where a leg sensor was applied during sleep study testing. First patient and second patient, (b)(6), notified sleep center of burns on (b)(6) 2012. Date of burns (b)(6) 2012. Third patient notified office during a follow up visit on (b)(6) 2012, (b)(6). That he received a burn on leg when in for testing on (b)(6) 2012. Pictures from patient, (b)(6), were forwarded to sleep center and there appeared to be a raised blister at the site of where leg sensors were attached. No medical treatment was received by any of these patients to determine if an allergic reaction or chemical burn may have caused burn. Also see (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5025310
MDR Report Key2565393
Date Received2012-05-03
Date of Report2012-05-03
Date of Event2012-04-15
Date Added to Maude2012-05-10
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLEG SENSOR V6 LEFT OR RIGHT TP
Generic Name"LEG PADDLES"
Product CodeLEL
Date Received2012-05-03
Returned To Mfg2012-04-25
Model Number7000-0100-01
Lot NumberITEMS RETURNED
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerCOMPUMEDICS
Manufacturer Address30-40 FLOCKHART ST ABBOTSFORD VIC 3067 AS 3067


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-05-03

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