ARMBAND PNEUMATIC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-10-10 for ARMBAND PNEUMATIC manufactured by Medex/psi Premier Specialities / Djo Global.

Event Text Entries

[57468073] I was prescribed an armband pneumatic brace from med ex/psi premier specialities inc. , and after wearing it for a few weeks. I developed a rash and intense itching in the area on the top of the forearm where the brace was. Although i have not used it since (b)(4). I still have visible skin changes and itching.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5065363
MDR Report Key6025440
Date Received2016-10-10
Date of Report2016-10-10
Date of Event2016-09-13
Date Added to Maude2016-10-13
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 Report0

Device Details

Brand NameARMBAND PNEUMATIC
Generic NameARMBAND PNEUMATIC
Product CodeNGX
Date Received2016-10-10
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDEX/PSI PREMIER SPECIALITIES / DJO GLOBAL


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-10-10

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