SLENDERTONE FACE 371 0371-2054

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,foreign,other report with the FDA on 2016-01-21 for SLENDERTONE FACE 371 0371-2054 manufactured by Bio-medical Research Ltd.

Event Text Entries

[36464925] Information was provided to (b)(4) via social media and no customer contact information was provided. The device was not returned for testing and the root cause could not be established. This complaint has been reported as part of a retrospective review of complaints representing events that are mdr reportable.
Patient Sequence No: 1, Text Type: N, H10


[36464926] (b)(4) was notified on (b)(6) 2014, via email from a trade customer, of a complaint through it's social media. A customer had reported that on use of the slendertone face for 2 -3 weeks, he/she had experienced a broken porcelain crown and a loose bridge. No customer contact details were provided to (b)(4) and no further medical information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8020867-2015-00025
MDR Report Key5382427
Report SourceCONSUMER,FOREIGN,OTHER
Date Received2016-01-21
Date of Report2014-03-19
Date of Event2014-03-19
Date Mfgr Received2014-03-19
Date Added to Maude2016-01-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. ANNE-MARIE KEENAN
Manufacturer StreetPARKMORE BUSINESS PARK, WEST
Manufacturer CityGALWAY, H91 NHT7
Manufacturer CountryEI
Manufacturer PostalH91 NHT7
Manufacturer Phone91774316
Manufacturer G1BIO-MEDICAL RESEARCH LTD
Manufacturer StreetPARKMORE BUSINESS PARK, WEST
Manufacturer CityGALWAY, H91 NHT7
Manufacturer CountryEI
Manufacturer Postal CodeH91 NHT7
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSLENDERTONE FACE
Generic NameFACIAL STIMULATOR
Product CodeNFO
Date Received2016-01-21
Model Number371
Catalog Number0371-2054
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBIO-MEDICAL RESEARCH LTD
Manufacturer AddressPARKMORE BUSINESS PARK, WEST GALWAY, H91 NHT7 EI H91 NHT7


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-01-21

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