VANQUISH ME BY BTL 713-B-000913

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-23 for VANQUISH ME BY BTL 713-B-000913 manufactured by Btl Industries.

Event Text Entries

[75852307] We own a vanquish me by (b)(4). The machine caught fire while treating a patient in (b)(6) of 2016. The building had to be evacuated, the fire department was called, and extensive smoke damage had to be cleaned up. (b)(4) (b)(6) to the patient to pay her off and required she sign a release of liability and a gag order. They took the machine for "repairs" for 2 weeks and returned the same machine with ashes and singe marks still on it. On (b)(6) 2017 the machine caught fire once again but in a new location of the machine. The manufacturer is claiming that no other issues have ever been reported with this model and refuses to exchange the machine and has demanded that we continue with our lease payments or they will confiscate the machine, even though we have already paid them (b)(6) already, but dr. (b)(6) feels that we are putting our patients, employees, and property at risk by continuing to operate this machine. We do not know what to do at this point and that is why we are reaching out to you. Any guidance will be appreciated. Thank you. Neither patient had any previous health issues.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5070005
MDR Report Key6587432
Date Received2017-05-23
Date of Report2017-05-23
Date of Event2017-05-02
Date Added to Maude2017-05-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameVANQUISH ME BY BTL
Generic NameVANQUISH ME BY BTL STIMULATOR
Product CodeGEI
Date Received2017-05-23
Model Number713-B-000913
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerBTL INDUSTRIES
Manufacturer AddressFRAMINGHAM MA 01702 US 01702

Device Sequence Number: 1

Brand NameVANQUISH ME BY BTL
Generic NameVANQUISH ME BY BTL STIMULATOR
Product CodeOLI
Date Received2017-05-23
Model Number713-B-000913
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBTL INDUSTRIES
Manufacturer AddressFRAMINGHAM MA 01702 US 01702


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-05-23

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