FASCIABLASTER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-13 for FASCIABLASTER manufactured by Adb Interests Llc.

Event Text Entries

[86241372] I followed the protocol that ashley black advised. Go to a pain level 7 for 4-5 minutes on each area. This was very painful, but ashley black called herself a scientist, said they did studies and that this was safe i thought she was a medical professional the way she proclaimed herself. I was so sore the next day, i could hardly walk. I had extreme bruising. I felt so awful and fatigued i missed 4 days work. When i reached out on the group and sent photos of my bruises, ashley black praised me and said i was doing it right.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5072130
MDR Report Key6864600
Date Received2017-09-13
Date of Report2017-09-13
Date of Event2017-01-20
Date Added to Maude2017-09-14
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 Report3

Device Details

Brand NameFASCIABLASTER
Generic NameCOMPONENTS, EXERCISE
Product CodeIOD
Date Received2017-09-13
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerADB INTERESTS LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-09-13

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