ALEVE DIRECT THERAPY TENS

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 2018-08-06 for ALEVE DIRECT THERAPY TENS manufactured by Bayer Healthcare Llc, Consumer Care.

Event Text Entries

[116402626] This report was initially received on 28-feb-2018. At the time, the case was only a ptc without event and not classified as incident (no criterion for case creation). However following ptc investigation (finalized on 31-jul-2018), the device electrical finding has been identified and classified as incident, therefore the case has been created now. This spontaneous case was reported by a consumer and describes the occurrence of device electrical finding ("output voltage of the product was higher than the allowable specification limit") and device malfunction ("device worked for 2 days (device flash green, but there's no output from the device)") in a male patient who received aleve tens device direct therapy unit (batch no. (b)(4)). On an unknown date, the patient started aleve tens device direct therapy unit. On an unknown date, the patient experienced device electrical finding and device malfunction. Quality-safety evaluation of ptc: based on the technical investigation, the initially reported complaint was for the product failing to function after 2 days of use. The complaint sample was returned for analysis and testing. The returned product failed the initial testing where additional testing was performed by the manufacturer. The initial and additional evaluation of the test results showed that the output voltage of the product was higher than the allowable specification limit. The device history record was reviewed for tens serial number (b)(4) and remote serial number (b)(4); the unit passed printed circuit board assembly level testing & high level assembly functional test during manufacture where no deviations or non-conformances were noted during the manufacturing process. The hazard analysis document was reviewed and failure modes associated with output resulting in current exceeding maximum value is captured within the existing risk document and determined to be broadly acceptable. Though a potential exists for consumer injury or harm, there were no adverse events reported with the use of this device serial number. Reason no capa necessary, the unit passed high level assembly functional test (test step sf1) before being shipped. This defect was not induced in plexus as the united tested pass the sf1 test. No adverse trends for this failure analysis trend was observed. This is the first confirmed complaint of this nature and is considered an isolated incident since defects of this nature have not been previously confirmed. This defect will continue to be monitored by bayer quality assurance and further actions will be taken if required. A product quality defect was confirmed. No adverse events were reported with the use of this device serial number. Most recent follow-up information incorporated above includes: on 31-jul-2018: quality-safety evaluation of ptc. Events are listed in the reference safety information for aleve tens device direct therapy unit. Given this device? S electrical nature, both events are considered related to product. Following ptc results, it was reported that output voltage of the product was higher than the allowable specification limit, which could lead to patient harm, and therefore this case was regarded as an incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2248903-2018-00003
MDR Report Key7752239
Report SourceCONSUMER,OTHER
Date Received2018-08-06
Date of Report2018-08-06
Date Mfgr Received2018-02-28
Date Added to Maude2018-08-06
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 Received2018-08-06
Returned To Mfg2018-05-22
Lot NumberR0M5JU
OperatorLAY USER/PATIENT
Device AvailabilityR
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
10 2018-08-06

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