SONIC CARE PERSONAL MASSAGER 133804A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-05-05 for SONIC CARE PERSONAL MASSAGER 133804A manufactured by Smart Circle International Www.s.

Event Text Entries

[44835374] Husband was using sonic comfort personal massager and suffered large 1st degree burns on his back, requiring him to seek medical care within 2 hours. The product brochure inside did not come with instructions, nor safety warning. He was treated at a walk in clinic with silver nitrate ointment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5062139
MDR Report Key5640723
Date Received2016-05-05
Date of Report2016-05-05
Date of Event2016-02-25
Date Added to Maude2016-05-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSONIC CARE PERSONAL MASSAGER
Generic NameMASSAGER
Product CodeISA
Date Received2016-05-05
Model Number133804A
Lot Number1653040 27415
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerSMART CIRCLE INTERNATIONAL WWW.S


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-05-05

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