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.
[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
Report Number | MW5031075 |
MDR Report Key | 3252332 |
Date Received | 2013-07-23 |
Date of Report | 2013-07-23 |
Date of Event | 2013-07-15 |
Date Added to Maude | 2013-07-30 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | ANODYNE THERAPY PROFESSIONAL SYSTEM |
Generic Name | ANDOYNE INFRARED LIGHT THERAPY DEVICE |
Product Code | ILY |
Date Received | 2013-07-23 |
Returned To Mfg | 2013-07-23 |
Model Number | 480 |
Lot Number | CE#04-155555 |
Operator | HEALTH PROFESSIONAL |
Device Availability | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ANODYNE THERAPY SERVICES |
Manufacturer Address | 141 MCCORMICK DR. TAMPA FL 33626 US 33626 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2013-07-23 |