HOMEDICS PAR50 UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2007-02-27 for HOMEDICS PAR50 UNK manufactured by Kwonnie Electrical Products, Ltd..

Event Text Entries

[20192580] Dipped hands in parafin bath and her hands turned red and skin blistered. A few days later, she repeated the process and her hands turned red and blistered. Some skin peeled.
Patient Sequence No: 1, Text Type: D, B5


[20452219] Response to fda 483 homedics inspection 12/2006. No additional information regarding injuries were rec'd from customer. Product not received from store for evaluation. Replacement given at consumer's request.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1832894-2006-00032
MDR Report Key890632
Report Source04
Date Received2007-02-27
Date of Report2006-12-29
Date of Event2001-12-11
Date Facility Aware2001-12-11
Report Date2006-12-29
Date Added to Maude2007-08-08
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 ContactDAVE VANDERLIN
Manufacturer Street3000 PONTIAC TRAIL
Manufacturer CityCOMMERCE TWP. MI 48390
Manufacturer CountryUS
Manufacturer Postal48390
Manufacturer Phone2488633000
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHOMEDICS
Generic NamePARAFIN BATH
Product CodeIMC
Date Received2007-02-27
Model NumberPAR50
Catalog NumberUNK
Lot Number*
ID Number*
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeUNKNOWN
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key867859
ManufacturerKWONNIE ELECTRICAL PRODUCTS, LTD.
Manufacturer Address* KOWLOON HK


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2007-02-27

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