MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-04 for FASCIABLASTER MINI 2TM NA manufactured by Adb Interests, Llc.
[110205389]
I brought the fasciablaster tool and used it as recommended by the creator. I have experienced chest pain, change in menstrual cycle, loose skin in my thighs. Increase in cellulitis and damage to my skin.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5077632 |
| MDR Report Key | 7568832 |
| Date Received | 2018-06-04 |
| Date of Report | 2018-06-01 |
| Date of Event | 2018-01-05 |
| Date Added to Maude | 2018-06-05 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | FASCIABLASTER |
| Generic Name | COMPONENTS EXCERCISE |
| Product Code | IOD |
| Date Received | 2018-06-04 |
| Model Number | MINI 2TM |
| Catalog Number | NA |
| Lot Number | NA |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ADB INTERESTS, LLC |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2018-06-04 |