ANODYNE THERAPY PROFESSIONAL SYSTEM 480

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-07-23 for ANODYNE THERAPY PROFESSIONAL SYSTEM 480 manufactured by Anodyne Therapy Services.

Event Text Entries

[18814215] A pt experienced a quarter -sized, first to send degree burn on her right calf during therapy on that extremity with an andoyne infrared light therapy device. Reason for use: to increase circulation of the right lower extremity. The pt reported that her primary care physician diagnosed the quarter-sized red mark on her right calf as a 1st to 2nd degree burn, and that a topical ointment was prescribed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5031075
MDR Report Key3252332
Date Received2013-07-23
Date of Report2013-07-23
Date of Event2013-07-15
Date Added to Maude2013-07-30
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 Details

Brand NameANODYNE THERAPY PROFESSIONAL SYSTEM
Generic NameANDOYNE INFRARED LIGHT THERAPY DEVICE
Product CodeILY
Date Received2013-07-23
Returned To Mfg2013-07-23
Model Number480
Lot NumberCE#04-155555
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerANODYNE THERAPY SERVICES
Manufacturer Address141 MCCORMICK DR. TAMPA FL 33626 US 33626


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2013-07-23

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