MYSELF *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-12-05 for MYSELF * manufactured by Deschutes Medical Products Inc..

Event Text Entries

[581114] I was using the "myself" biofeedback device according to the directions. That is pumping air into the sensor until the lcd display tells me to stop. Then tighening muscles until the biofeedback display tells me to relax. When doing this i felt a sudden pain and a twinge. A lump protruded low on my abdomen. I have seen a doctor about this, it is an inguinal hernia.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1041260
MDR Report Key790818
Date Received2006-12-05
Date of Report2006-12-05
Date of Event2006-08-01
Date Added to Maude2006-12-07
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 Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMYSELF
Generic NameMYSELF
Product CodeHCC
Date Received2006-12-05
Model Number*
Catalog Number*
Lot Number*
ID NumberPAT
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key793739
ManufacturerDESCHUTES MEDICAL PRODUCTS INC.
Manufacturer Address1101 S.W. EMKAY DR SUITE 104 BEND OR 97702 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2006-12-05

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