FASCIABLASTER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-07-11 for FASCIABLASTER manufactured by Ashley Black / Adb Interests, Llc..

Event Text Entries

[113863311] Using the fasciablaster by ashley black, i gained 25 lbs in 6 months and my cellulite is worse than ever. My hip muscle tore away from the fascia which holds muscle to bone. I had 8 wks of physical therapy before my hip stopped "rolling," bruising, swelling on my legs and arms after use of the fasciablaster. I am still doing therapy and going to chiropractor 3 days a week.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5078326
MDR Report Key7681183
Date Received2018-07-11
Date of Report2018-07-10
Date of Event2017-06-29
Date Added to Maude2018-07-12
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 Report3

Device Details

Brand NameFASCIABLASTER
Generic NameCOMPONENTS, EXERCISE
Product CodeIOD
Date Received2018-07-11
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerASHLEY BLACK / ADB INTERESTS, LLC.


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2018-07-11

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