* UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2005-12-01 for * UNK manufactured by Unk.

Event Text Entries

[407087] Pt complains of being exposed to electromagnetic device. Pt is being stalked by 2 men and they are playing seductive game with her. Pt was invited to participate in the game which is against the law. Fda needs to investigate.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1037349
MDR Report Key650761
Date Received2005-12-01
Date of Report2005-12-01
Date Added to Maude2005-12-12
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 FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameELECTROMAGNETIC DEVICE
Product CodeGZI
Date Received2005-12-01
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID Number*
OperatorLAY USER/PATIENT
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key640234
ManufacturerUNK
Manufacturer AddressUNK UNK *


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Required No Informationntervention 2005-12-01

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.