ANODYNE LIGHT THERAPY UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-05-12 for ANODYNE LIGHT THERAPY UNK manufactured by Anodyne Light Therapy.

Event Text Entries

[5951165] Went to (b)(6) ctr for anodyne light therapy treatment on (b)(6). Treatment was administered longer than protocol and skin condition was not checked every 10 minutes. Burns were noticed that evening with pain and extreme swelling. Went to er, (b)(6) emergency room in (b)(6) was treated for burns, pain, and swelling.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5042730
MDR Report Key4777300
Date Received2015-05-12
Date of Report2015-05-12
Date of Event2015-05-07
Date Added to Maude2015-05-19
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 NameANODYNE LIGHT THERAPY
Generic NameANODYNE LIGHT THERAPY
Product CodeILY
Date Received2015-05-12
Model NumberUNK
Lot NumberUNK
OperatorOTHER
Device Sequence No1
Device Event Key0
ManufacturerANODYNE LIGHT THERAPY


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2015-05-12

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