ALEVE DIRECT THERAPY TENS N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-18 for ALEVE DIRECT THERAPY TENS N/A manufactured by Bayer Healthcare Llc, Consumer Care.

Event Text Entries

[108996320] This spontaneous case was reported by a consumer and describes the occurrence of medical device site discolouration ("leaves marks on my back where it shocks") in an elderly female patient who received aleve tens device direct therapy unit (udi no. (b)(4)). Other product or product use issues identified: device stimulation issue "this device literally shocks me. " (seriousness criterion medically significant). On an unknown date, the patient started aleve tens device direct therapy unit. On an unknown date, the patient experienced medical device site discolouration. It was unknown whether any action was taken with aleve tens device direct therapy unit. At the time of the report, the medical device site discolouration outcome was unknown. The reporter provided no causality assessment for medical device site discolouration with aleve tens device direct therapy unit. Quality-safety evaluation of ptc: based on the technical investigation, a review of the device history for this serial number was conducted and no defects were identified during the manufacture of the device. This product technical complaint cannot be confirmed at this time. No product was returned. Good faith attempts were made to retrieve the product and/or obtain product information however no further information could be obtained. All aleve direct therapy tens units and gelpads 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 initiated 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-may-2018: quality-safety evaluation of ptc was received. This spontaneous report refers to an elderly female patient who used aleve tens device direct therapy unit (transcutaneous electrical nerve stimulation (tens therapy)) (dates of use and indication were not provided). Patient informed: "this device literally shocks me (interpreted as electric shock), leaves marks on my back where it shocks (associated non-serious event since there was no further diagnosis regarding the marks). " this device literally shocks me was considered serious, in a conservative approach, since it could have cause a permanent damage to the body. The events are unlisted according to aleve tens reference safety information. Considering the mechanisms of action of suspect product, the close temporal relationship and the nature of reported event, company does not exclude an association between reported event and aleve tens device direct therapy unit. No further information is expected from the reporter. The ptc investigation was initiated and the outcome of the investigation resulted in an unconfirmed quality defect. No further information is expected. This case was regarded as incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2248903-2018-00002
MDR Report Key7525729
Date Received2018-05-18
Date of Report2018-05-18
Date Mfgr Received2018-04-23
Date Added to Maude2018-05-18
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 Report0

Device Details

Brand NameALEVE DIRECT THERAPY TENS
Generic NameSTIMULATOR, NERVE, TRANSCUTANEOUS, ELECTRICAL NERVE STIMULATOR (TENS)
Product CodeNUH
Date Received2018-05-18
Model NumberN/A
OperatorLAY USER/PATIENT
Device Availability*
Device Eval'ed by MfgrR
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 2018-05-18

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