FASCIABLASTER FACE BLASTER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-10 for FASCIABLASTER FACE BLASTER manufactured by Ashley Black/ Adb Interests, Llc.

Event Text Entries

[108135734] I started a year ago using the fasciablaster face blaster on my neck area under my chin about 3 times a week for many months. About two weeks ago i noticed a large lump under my chin. I have discontinued using the blaster and sent it back and am now awaiting more testing on the lump. This is an unsafe product.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077139
MDR Report Key7506278
Date Received2018-05-10
Date of Report2018-05-08
Date of Event2018-04-25
Date Added to Maude2018-05-11
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 NameFASCIABLASTER FACE BLASTER
Generic NameCOMPONENTS, EXERCISE
Product CodeIOD
Date Received2018-05-10
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerASHLEY BLACK/ ADB INTERESTS, LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention; 2. Deathisabilit 2018-05-10

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