ULTRA-TACHYON MICRODISK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-05-24 for ULTRA-TACHYON MICRODISK manufactured by Advanced Tachyon Technologies.

Event Text Entries

[50388344] Caller stated he suffered from advanced arthritis in his knees and was encouraged by a friend on utilize an ultra-tachyon disk. The caller's friend bought it for her mother and it relieved her pain. The caller reported after 1 day, he discontinued use due to the disk causing him excruciating pain and sleep disturbances. Caller went to a masseuse to help relieve his inflamed knee and lower thigh. Caller stated he felt the device moving and was concerned that this device could have more unk negative effects. Caller added, the company's website (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5063573
MDR Report Key5815024
Date Received2016-05-24
Date of Report2016-05-24
Date of Event2016-05-20
Date Added to Maude2016-07-22
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
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameULTRA-TACHYON MICRODISK
Generic NameULTRA-TACHYON MICRODISK
Product CodeOMW
Date Received2016-05-24
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerADVANCED TACHYON TECHNOLOGIES


Patients

Patient NumberTreatmentOutcomeDate
10 2016-05-24

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