ALEVE DIRECT THERAPY TENS UNKNOWN

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 2018-02-15 for ALEVE DIRECT THERAPY TENS UNKNOWN manufactured by Bayer Healthcare Llc, Consumer Care.

Event Text Entries

[100178927] This spontaneous case was reported by a consumer and describes the occurrence of burns third degree ("he believes he has third degree burns even though it has not been verified by hcp") in a (b)(6)-year-old male patient who received aleve tens device direct therapy unit for back pain. The occurrence of additional non-serious events is detailed below. Other product or product use issues identified: device ineffective "this is supposed to relieve pain not give pain" and device stimulation issue "i was shocked" (seriousness criterion medically significant) over a period of 20 min. On an unknown date, the patient started aleve tens device direct therapy unit. On an unknown date, the patient experienced burns third degree (seriousness criterion medically significant) with erythema and mobility decreased ("the shock caused me to become immobile / loss of movement in right side by shock"). Aleve tens device direct therapy unit was withdrawn. At the time of the report, the burns third degree had not resolved and the mobility decreased had resolved. The reporter considered burns third degree and mobility decreased to be related to aleve tens device direct therapy unit. The reporter commented: that he was about 5 minutes into using the device when he experienced an electrical shock that lasted about 20 minutes or so, it was stinging to the point it felt like it was burning him. The stinging was so excruciating he could not reach the remote to turn it off because of the pain it was giving and immobilized the right side of his body which lasted several minutes before he could use his whole body again. Reporter stated it left red marks where the patch was in my back and he think he has third degree burns even though it has not been verified by an hcp. He used the device several times prior to his experience and never had the events experienced this last time and he has not received medical treatment or is using anything to treat the red marks or the third degree burns. Diagnostic results (normal ranges are provided in parenthesis if available): body mass index was 20. 8 kg/sqm. Most recent follow-up information incorporated above includes: on (b)(4) 2018: following internal review the code of event "the shock caused me to become immobile / loss of movement in right side by shock" was changed from pt "hemiparesthesia" to pt "mobility decreased". On (b)(6) 2018: no new clinical information. On (b)(6) 2018: no new clinical information. This spontaneous report refers to a (b)(6) year-old male patient who used aleve tens device direct therapy unit (transcutaneous electrical nerve stimulation (tens therapy)) since unspecified date (used the device several times) for back pain. Five minutes into using the device, he experienced an electrical shock that lasted about 20 minutes or so, the shock caused him to become immobile / loss of movement in right side by shock (non-serious event upon follow-up). Reporter stated it left red marks where the patch was in his back and he believes he has third degree burns even though it has not been verified by hcp (health care professional). The events are considered serious due to medical importance and are unlisted according to aleve tens reference safety information. This case lacks information for a comprehensive assessment, including intensity after turning the device on, treatment mode when event was experienced and presence of any implantable electric or metallic device. However considering the mechanisms of action of suspect product, the close temporal relationship and the nature of reported event, causal or contributory role of aleve tens to the events cannot be excluded. Further information was requested. This case was regarded as incident.
Patient Sequence No: 1, Text Type: D, B5


[101175639] This spontaneous case was reported by a consumer and describes the occurrence of burns third degree ("he believes he has third degree burns even though it has not been verified by hcp") in a (b)(6)-year-old male patient who received aleve tens device direct therapy unit (batch no. T0dztx) for back pain. The occurrence of additional non-serious events is detailed below. Other product or product use issues identified: device ineffective "this is supposed to relieve pain not give pain" and device stimulation issue "i was shocked" (seriousness criterion medically significant) over a period of 20 min. On an unknown date, the patient started aleve tens device direct therapy unit. On an unknown date, the patient experienced burns third degree (seriousness criterion medically significant) with erythema and mobility decreased ("the shock caused me to become immobile / loss of movement in right side by shock"). Aleve tens device direct therapy unit was withdrawn. At the time of the report, the burns third degree had not resolved and the mobility decreased had resolved. The reporter considered burns third degree and mobility decreased to be related to aleve tens device direct therapy unit. The reporter commented: that he was about 5 minutes into using the device when he experienced an electrical shock that lasted about 20 minutes or so, it was stinging to the point it felt like it was burning him. The stinging was so excruciating he could not reach the remote to turn it off because of the pain it was giving and immobilized the right side of his body which lasted several minutes before he could use his whole body again. Reporter stated it left red marks where the patch was in my back and he think he has third degree burns even though it has not been verified by an hcp. He used the device several times prior to his experience and never had the events experienced this last time and he has not received medical treatment or is using anything to treat the red marks or the third degree burns. Diagnostic results (normal ranges are provided in parenthesis if available): body mass index was 20. 8 kg/sqm. Quality-safety evaluation of ptc: based on the technical investigation this product technical complaint cannot be confirmed at this time. No product was returned. Good faith attempts were made to retrieve the product; no further information could be obtained. A review of the device history for this serial number was conducted and no defects were identified during the manufacture of the device. All aleve direct therapy tens units are made in accordance with current good manufacturing practices and to the applicable fda and iso regulations. All product undergoes 100% inspection and 100% functional testing at multiple points throughout the manufacturing process where the associated data and documentation is reviewed to ensure all released product meets product specifications. The ptc investigation was conducted and the outcome of the investigation resulted in an unconfirmed quality defect. Most recent follow-up information incorporated above includes: on 21-feb-2018: quality-safety evaluation of ptc. This spontaneous report refers to a (b)(6) year-old male patient who used aleve tens device direct therapy unit (transcutaneous electrical nerve stimulation (tens therapy)) since unspecified date (used the device several times) for back pain. 5 minutes into using the device he experienced an electrical shock that lasted about 20 minutes or so, the shock caused him to become immobile / loss of movement in right side by shock (non-serious event upon follow-up). Reporter stated it left red marks where the patch was in his back and he believes he has third degree burns even though it has not been verified by hcp (health care professional). The events are considered serious due to medical importance and are unlisted according to aleve tens reference safety information. This case lacks information for a comprehensive assessment, including intensity after turning the device on, treatment mode when event was experienced and presence of any implantable electric or metallic device. However considering the mechanisms of action of suspect product, the close temporal relationship and the nature of reported event, causal or contributory role of aleve tens to the events cannot be excluded. Further information was requested. A product technical complaint investigation resulted in an unconfirmed quality defect. This case was regarded as incident.
Patient Sequence No: 1, Text Type: N, H10


[104162251] This spontaneous case was reported by a consumer and describes the occurrence of burns third degree ("he believes he has third degree burns even though it has not been verified by hcp") in a (b)(6)-year-old male patient who received aleve tens device direct therapy unit for back pain. The occurrence of additional non-serious events is detailed below. Other product or product use issues identified: device ineffective "this is supposed to relieve pain not give pain" and device stimulation issue "i was shocked" (seriousness criterion medically significant) over a period of 20 min. On an unknown date, the patient started aleve tens device direct therapy unit. On an unknown date, the patient experienced burns third degree (seriousness criterion medically significant) with erythema and mobility decreased ("the shock caused me to become immobile / loss of movement in right side by shock"). Aleve tens device direct therapy unit was withdrawn. At the time of the report, the burns third degree had not resolved and the mobility decreased had resolved. The reporter considered burns third degree and mobility decreased to be related to aleve tens device direct therapy unit. The reporter commented: that he was about 5 minutes into using the device when he experienced an electrical shock that lasted about 20 minutes or so, it was stinging to the point it felt like it was burning him. The stinging was so excruciating he could not reach the remote to turn it off because of the pain it was giving and immobilized the right side of his body which lasted several minutes before he could use his whole body again. Reporter stated it left red marks where the patch was in my back and he think he has third degree burns even though it has not been verified by an hcp. He used the device several times prior to his experience and never had the events experienced this last time and he has not received medical treatment or is using anything to treat the red marks or the third degree burns. Diagnostic results (normal ranges are provided in parenthesis if available): body mass index was 20. 8 kg/sqm. The list of device similar incidents contains aleve tens device direct therapy unit reports received by bayer coded with the same medra preferred term. In this particular case, a search in the database was performed on 20-mar-2018 for the following meddra preferred term: burns third degree, the analysis in the global safety database revealed 0 (zero) case(s). Device stimulation issue, the analysis in the global safety database revealed 2 (two) case(s). Bayer is closely monitoring the benefit-risk profile of aleve tens device direct therapy unit. A recent cumulative review of all available data on aleve tens device direct therapy unit has not yielded any new safety signal with regard to these meddra pt. Quality-safety evaluation of ptc: based on the technical investigation, the tens device was received. No gelpads or gelpad packaging was returned that would identify the gelpad lot number. Based on the technical investigation of the returned device, the product passed all test results and met specifications. All aleve direct therapy tens units are made in accordance with current good manufacturing practices and to the applicable fda and iso regulations. All product undergoes 100% inspection and 100% functional testing at multiple points throughout the manufacturing process where the associated data and documentation is reviewed to ensure all released product meets product specifications. This issue will be monitored and trended to potentially identify new failure modes. The ptc investigation was conducted and the outcome of the investigation resulted in an unconfirmed quality defect. Further company follow-up with the consumer is not possible. Most recent follow-up information incorporated above includes: on 16-mar-2018: case closed. Reporter declined to provide further details, or give consent to contact his physician. Most recent follow-up information incorporated above includes: on 28-mar-2018: quality-safety evaluation of ptc: unconfirmed quality defect. Sample was received. This spontaneous report refers to a (b)(6) year-old male patient who used aleve tens device direct therapy unit (transcutaneous electrical nerve stimulation (tens therapy)) since unspecified date (used the device several times) for back pain. 5 minutes into using the device he experienced an electrical shock that lasted about 20 minutes or so, the shock caused him to become immobile / loss of movement in right side by shock (non-serious event upon follow-up). Reporter stated it left red marks where the patch was in his back and he believes he has third degree burns even though it has not been verified by hcp (health care professional). The events are considered serious due to medical importance and are unlisted according to aleve tens reference safety information. This case lacks information for a comprehensive assessment, including intensity after turning the device on, treatment mode when event was experienced and presence of any implantable electric or metallic device. However considering the mechanisms of action of suspect product, the close temporal relationship and the nature of reported event, causal or contributory role of aleve tens to the events cannot be excluded. Further information is not expected. A product technical complaint investigation resulted in an unconfirmed quality defect. This case was regarded as incident.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2248903-2018-00001
MDR Report Key7273682
Report SourceCONSUMER,OTHER
Date Received2018-02-15
Date of Report2018-04-03
Date Mfgr Received2018-03-16
Date Added to Maude2018-02-15
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 ContactK. SHAW LAMBERSON
Manufacturer Street100 BAYER BLVD. P.O. BOX 915
Manufacturer CityWHIPPANY 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 Received2018-02-15
Returned To Mfg2018-03-19
Model NumberUNKNOWN
OperatorLAY USER/PATIENT
Device AvailabilityR
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 2018-02-15

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