VECTRA GENISYS 2 CH VECTRA GENISYS 2761 2761

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-08-18 for VECTRA GENISYS 2 CH VECTRA GENISYS 2761 2761 manufactured by Chattanooga Group.

Event Text Entries

[52409987]
Patient Sequence No: 1, Text Type: N, H10


[52409988] Patient arrived for her 4:00pm physical therapy treatment appointment. While on the sci-fit seated stepper, patient informed physical therapist of superficial wound on her l lower back/flank area that she and her son noticed late that evening a few days earlier. Patient and son reported that after physical therapy that day (~6pm), they went do some errands and went home and noticed the localized discolored area on l lower back/flank. The patient's son states they put neosporin on it and it seems to have scabbed over on the weekend; pt denied pain on or around the same area throughout the weekend. Upon inspection, the physical therapist noted a 1. 0 inch by 0. 5 inch oval shaped wound with clean edges and black slough, (-) drainage, (-) erythema on left lower back/flank region. Pt denied pain on wound or periphery upon ocular inspection and palpation around the lower back region. Review showed it is approximately around the area where the electrode pads for the interferential current modality was placed on pt's last treatment. Physical therapist called rehab manager to inform her of incident. Rehab manager arrived and inspected the area as well as interviewed the patient and son about the incident. Manufacturer response for electrical stimulator machine, vectra genisys (per site reporter): reported by mgr of rehab. Manufacturer escalated the event to the regional mgr. Currently awaiting response.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5885336
MDR Report Key5885336
Date Received2016-08-18
Date of Report2016-08-11
Date of Event2016-07-13
Report Date2016-08-11
Date Reported to FDA2016-08-11
Date Reported to Mfgr2016-08-11
Date Added to Maude2016-08-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVECTRA GENISYS 2 CH
Generic NamePOWER MUSCLE STIMULATOR
Product CodeIPF
Date Received2016-08-18
Model NumberVECTRA GENISYS 2761
Catalog Number2761
Device AvailabilityY
Device Age2 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCHATTANOOGA GROUP
Manufacturer Address1430 DECISION ST. VISTA, CA 92081 US 92081


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-08-18

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