HAWAII SPORTSFLY TENS UNIT AS2015

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-01-23 for HAWAII SPORTSFLY TENS UNIT AS2015 manufactured by Shenzhen Astec Technology Co Ltd..

Event Text Entries

[98232172] The very first time i used the device it caused severe pain to my back. I was in such excruciating pain that i could barely move. I bought this item from (b)(6) at the (b)(6) in (b)(6). They sell it in a box that says 'massager' and it is made by a company called (b)(6). The apparent 'owner' assured me that the product was fda cleared and they were also fda registered. He even went as far as showing me his company 'fda registration'. After doing some research i found out that they are not fda registered and he was showing me the registration information for the company that makes the product! The fda told me that as an initial importer they should be registered and pay a fee to legally import medical devices into the us. Apparently this company does not care about the law. Here is a link to the product that injured me. (b)(6) i hope that nobody else gets injured as a result of this company breaking fda regulations.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5074741
MDR Report Key7214782
Date Received2018-01-23
Date of Report2018-01-22
Date of Event2018-01-08
Date Added to Maude2018-01-24
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 NameHAWAII SPORTSFLY TENS UNIT
Generic NameTENS UNIT
Product CodeGZJ
Date Received2018-01-23
Model NumberAS2015
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSHENZHEN ASTEC TECHNOLOGY CO LTD.


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2018-01-23

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