ELITE MASSAGER MONO ME1-140726-0870 4474567894086

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-01-28 for ELITE MASSAGER MONO ME1-140726-0870 4474567894086 manufactured by Elite Massager Llc.

Event Text Entries

[5320407] During the use of the elite massager mono, i had a seizure. I was told by the man at the (b)(6), that it would not affect, but help to lessen my seizure disorder. When i had the seizure, i got on the internet to find that he wasn't approved by the fda as he had said, and that they are under investigation. (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5040554
MDR Report Key4479473
Date Received2015-01-28
Date of Report2015-01-28
Date of Event2015-01-27
Date Added to Maude2015-02-04
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 Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameELITE MASSAGER MONO
Generic NameELITE MASSAGER MONO
Product CodeISA
Date Received2015-01-28
Model NumberME1-140726-0870
Catalog Number4474567894086
Lot Number4474567894086
ID Number4474567894086
Device Expiration Date2016-01-18
OperatorLAY USER/PATIENT
Device Sequence No1
Device Event Key0
ManufacturerELITE MASSAGER LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Other 2015-01-28

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