ALEVE DIRECT THERAPY TENS 1613538

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,other report with the FDA on 2017-03-02 for ALEVE DIRECT THERAPY TENS 1613538 manufactured by Bayer Healthcare Llc, Consumer Care.

Event Text Entries

[68964101] This spontaneous case was reported by a consumer and describes the occurrence of chemical injury ("they looked like chemical burns/ they looked like burns/the burn was very bad") in a male patient who received aleve tens device direct therapy unit. Other product or product use issues identified: device leakage "he said that whatever is in the gel that leaked out must have reacted with my skin," and therapeutic response unexpected "the unit had helped me reduce my opioid use". The patient's concurrent conditions included spinal fusion nos. On an unknown date, the patient started aleve tens device direct therapy unit at an unspecified dose and frequency. In 2016, the patient experienced chemical injury (seriousness criteria medically significant and clinically significant/intervention required) with urticaria and scab. The patient was treated with neosporin (neosporin topical). Aleve tens device direct therapy unit was interrupted. At the time of the report, the chemical injury outcome was unknown. The reporter considered chemical injury to be related to aleve tens device direct therapy unit. The reporter commented: i replaced the pads for about the 10th time, put them on and laid down. I had it on level 3 or 4, not to high, and the events occurred. Quality-safety evaluation of ptc: (b)(4): unconfirmed quality defect: risk category v. Final assessment: per global (b)(4), if no sample are available and no batch data of the medical product or medical device have been reported in the complaint, it is closed without further investigation. Medical assessment: a ptc investigation can not be initiated as a batch number or sample was not provided thus resulting in an unconfirmed quality defect. (b)(4): unconfirmed quality defect: risk category v. Final assessment : batch documentation has been reviewed by bayer quality assurance. All deviations and non-conformances have also been reviewed by bayer quality assurance to identify potential product quality concerns, with non identified for the applicable lot. Without a return sample, no further investigation is possible. This issue will be monitored and treated to potentially identify new failure modes. Medical assessment: based on the information available, batch documentation was received and no product quality concerns were identified, however, since no sample was provided no final assessment is possible thus resulting in an outcome of unconfirmed quality defect. Most recent follow-up information incorporated above includes: on 1-mar-2017: ptc investigation result received. Unconfirmed quality defect: risk category v. Company causality comment: this spontaneous case, reported by a consumer,describes the occurrence of serious event chemical injury ("they looked like chemical burns/ they looked like burns/the burn was very bad")(medically significant and intervention required ) in a male patient who received aleve tens device direct therapy unit for a not reported indication. This event is unlisted according to aleve tens reference safety information. The patient's concurrent conditions included spinal fusion nos. Patient replaced the pads for about the 10th time, put them on and laid down, had the device on level 3 or 4, and reported non-serious device leakage ("he said that whatever is in the gel that leaked out must have reacted with my skin") followed by chemical injury. In this context, considering the technical issue and the close temporal relationship, causality of aleve tens cannot be excluded, in agreement with reporter.
Patient Sequence No: 1, Text Type: D, B5


[71012426] Most recent follow-up information incorporated above includes: on 28-feb-2017: quality safety evaluation: unconfirmed quality defect: risk category v. Company causality comment: this spontaneous case, reported by a consumer,describes the occurrence of serious event chemical injury ("they looked like chemical burns/ they looked like burns/the burn was very bad")(medically significant and intervention required ) in a male patient who received aleve tens device direct therapy unit for a not reported indication. This event is unlisted according to aleve tens reference safety information. The patient's concurrent conditions included spinal fusion nos. Patient replaced the pads for about the 10th time, put them on and laid down, had the device on level 3 or 4, and reported non-serious device leakage ("he said that whatever is in the gel that leaked out must have reacted with my skin") followed by chemical injury. In this context, considering the technical issue and the close temporal relationship, causality of aleve tens cannot be excluded, in agreement with reporter. Ptc investigation: unconfirmed quality defect.
Patient Sequence No: 1, Text Type: D, B5


[117963057] This spontaneous case was reported by a consumer and describes the occurrence of first degree chemical burn of skin ("they looked like chemical burns/ they looked like burns/the burn was very bad/ they were first, second and third degree burns"), second degree chemical burn of skin ("they looked like chemical burns/ they looked like burns/the burn was very bad/ they were first, second and third degree burns") and third degree chemical burn of skin ("they looked like chemical burns/ they looked like burns/the burn was very bad/ they were first, second and third degree burns") in a male patient who received aleve tens device direct therapy unit (batch no. Unk). Other product or product use issues identified: device leakage "he said that whatever is in the gel that leaked out must have reacted with my skin," in 2016, contraindicated device used "titanium plates as well as a ton of rods and screws on lower back" and therapeutic response unexpected "the unit had helped me reduce my opioid use". The patient's concurrent conditions included spinal fusion nos since 2014 and internal fixation of spine. On an unknown date, the patient started aleve tens device direct therapy unit. In 2016, the patient experienced first degree chemical burn of skin (seriousness criteria medically significant and intervention required) with urticaria, scab, pruritus and skin ulcer, second degree chemical burn of skin (seriousness criteria medically significant and intervention required) with urticaria, scab, pruritus and skin ulcer and third degree chemical burn of skin (seriousness criteria medically significant and intervention required) with urticaria, pruritus, scab and skin ulcer. The patient was treated with neosporin (neosporin topical). Aleve tens device direct therapy unit was interrupted. At the time of the report, the first degree chemical burn of skin, second degree chemical burn of skin and third degree chemical burn of skin had resolved. The reporter considered first degree chemical burn of skin, second degree chemical burn of skin and third degree chemical burn of skin to be related to aleve tens device direct therapy unit. The reporter commented: i replaced the pads for about the 10th time, put them on and laid down. I had it on level 3 or 4, not to high, and the events occurred. Consumer used the product before for about 3 months with no issues. Quality-safety evaluation of ptc: (b)(4): unconfirmed quality defect: risk category v. Per global sop 115, if no sample are available and no batch data of the medical product or medical device have been reported in the complaint, it is closed without further investigation. A ptc investigation can not be initiated as a batch number or sample was not provided thus resulting in an unconfirmed quality defect. (b)(4): unconfirmed quality defect: risk category v. Batch documentation has been reviewed by bayer quality assurance. All deviations and non-conformances have also been reviewed by bayer quality assurance to identify potential product quality concerns, with non identified for the applicable lot. Without a return sample, no further investigation is possible. This issue will be monitored and treated to potentially identify new failure modes. Based on the information available, batch documentation was received and no product quality concerns were identified, however, since no sample was provided no final assessment is possible thus resulting in an outcome of unconfirmed quality defect. Most recent follow-up information incorporated above includes: on 27-jun-2017: the previously reported event they looked like chemical burns/ they looked like burns/the burn was very bad was reworked to they looked like chemical burns/ they looked like burns/the burn was very bad /they were first, second and third degree burns and open sores on back and itching on sores were added as symptom for this event; event titanium plates as well as a ton of rods and screws on lower back was also added; medical history updated. Company causality comment: this spontaneous case, reported by a consumer, describes the occurrence of serious events chemical injury- first degree burns, second degree burns and third degree burns ("they looked like chemical burns/ they looked like burns/the burn was very bad") (medically significant and intervention required) in a male patient who received aleve tens device direct therapy unit for a not reported indication. This events are unlisted according to aleve tens reference safety information. The patient's concurrent conditions included spinal fusion nos. Patient replaced the pads for about the 10th time, put them on and laid down, had the device on level 3 or 4, and reported non-serious device leakage ("he said that whatever is in the gel that leaked out must have reacted with my skin") followed by chemical injury. In this context, considering the technical issue and the close temporal relationship, causality of aleve tens cannot be excluded, in agreement with reporter. Ptc investigation: unconfirmed quality defect.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1020060-2017-00003
MDR Report Key6373325
Report SourceCONSUMER,OTHER
Date Received2017-03-02
Date of Report2018-02-15
Date of Event2016-01-01
Date Mfgr Received2018-02-05
Date Added to Maude2017-03-02
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 ContactDR. K. SHAW LAMBERSON
Manufacturer Street100 BAYER BLVD. P.O. BOX 915
Manufacturer CityWHIPPANY NJ 079810915
Manufacturer CountryUS
Manufacturer Postal079810915
Manufacturer G1BAYER HEALTHCARE LLC, CONSUMER CARE
Manufacturer Street36 COLUMBIA RD.
Manufacturer CityMORRISTOWN NJ 07960
Manufacturer CountryUS
Manufacturer Postal Code07960
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameALEVE DIRECT THERAPY TENS
Generic NameSTIMULATOR, NERVE, TRANSCUTANEOUS, ELECTRICAL NERVE STIMULATOR (TENS)
Product CodeNUH
Date Received2017-03-02
Model Number1613538
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBAYER HEALTHCARE LLC, CONSUMER CARE
Manufacturer Address36 COLUMBIA RD. MORRISTOWN NJ 07960 US 07960


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2017-03-02

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