ENDOMED 433, RISK CLASS 2G 1433.902

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-23 for ENDOMED 433, RISK CLASS 2G 1433.902 manufactured by Djo Global.

Event Text Entries

[32181739] Reporter was treated at the physical therapist's office by use of interferential current at his lower back. He experienced tingling at his lower leg and calf. Muscle spasms at his lower back. This discomfort keeps him awake. He suspects nerve damage resulting to neuropathy.
Patient Sequence No: 0, Text Type: D, B5


[36502594] Add'l info received from reporter on 01/12/2016. Tingling sensation in calves. I could not sleep for many nights following use of device due to muscle spasms (twitching) of calves and lower back. Also happening various times during the day. I experienced weakness and lack of coordination. Sometimes feeling i was going to drop and needed support. Later i had muscle cramping problems as well. I advised (b)(6) before hand. I did not want any electro stim. He did not heed warning. Told him i had bad results in past. Ten units. Physical therapy: (b)(6) 2015, (b)(6) 2015. (b)(6).
Patient Sequence No: 0, Text Type: D, B5


[34784795] Add'l info received from mfr on 12/29/2015: we at djo, llc have received and reviewed mw5058129: our review team was able to contact the pt, and clinic with the pt permission for add'l details. Per the pt responding to our request, the unit involved with this event was not a djo, llc device. The data given for the device is as follows: mfr: henley international; brand name: endomed 433, risk class 2g; model # 1433. 902; serial # (b)(4),
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5058129
MDR Report Key5250177
Date Received2015-11-23
Date of Report2015-11-23
Date of Event2015-09-15
Date Added to Maude2015-11-25
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameENDOMED 433, RISK CLASS 2G
Generic Name'PHOTOPHERESIS' QUADPOLAR INTERFERENTIAL CONTINUOUS 9-100HZ SCAN
Product CodeLIH
Date Received2015-11-23
Model Number1433.902
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No0
Device Event Key0
ManufacturerDJO GLOBAL
Manufacturer Address1430 DECISION ST. VISTA CA 92081 US 92081


Patients

Patient NumberTreatmentOutcomeDate
001. Other 2015-11-23

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