ACCURELIEF WIRELESS 3-IN-1 PAIN RELIEF DEVICE ACRL-9100 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-05 for ACCURELIEF WIRELESS 3-IN-1 PAIN RELIEF DEVICE ACRL-9100 NA manufactured by Compass Health Brands.

Event Text Entries

[138085404] Attached tens otc unit to my back as usual and powered it on. Received a painful, stunning shock. Unit wouldn? T power off and i couldn? T remove it myself due to muscle spasms, until the device spontaneously changed to an intermittent mode. The intensity setting was at 1, the lowest level. Device: accurelief acrl-9100, compass health brands, carex health brands lot: sz1510799. Pad exp 31/05/2020.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5084660
MDR Report Key8394098
Date Received2019-03-05
Date of Report2019-03-02
Date of Event2019-03-02
Date Added to Maude2019-03-06
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 NameACCURELIEF WIRELESS 3-IN-1 PAIN RELIEF DEVICE
Generic NameSTIMULATOR, MUSCLE, POWERED
Product CodeIPF
Date Received2019-03-05
Model NumberACRL-9100
Catalog NumberNA
Lot NumberSZ1510799
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCOMPASS HEALTH BRANDS


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-05

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