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..
[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
Report Number | 1832894-2006-00032 |
MDR Report Key | 890632 |
Report Source | 04 |
Date Received | 2007-02-27 |
Date of Report | 2006-12-29 |
Date of Event | 2001-12-11 |
Date Facility Aware | 2001-12-11 |
Report Date | 2006-12-29 |
Date Added to Maude | 2007-08-08 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | DAVE VANDERLIN |
Manufacturer Street | 3000 PONTIAC TRAIL |
Manufacturer City | COMMERCE TWP. MI 48390 |
Manufacturer Country | US |
Manufacturer Postal | 48390 |
Manufacturer Phone | 2488633000 |
Manufacturer G1 | * |
Manufacturer Street | * |
Manufacturer City | * |
Manufacturer Country | * |
Single Use | 3 |
Remedial Action | RL |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | HOMEDICS |
Generic Name | PARAFIN BATH |
Product Code | IMC |
Date Received | 2007-02-27 |
Model Number | PAR50 |
Catalog Number | UNK |
Lot Number | * |
ID Number | * |
Operator | LAY USER/PATIENT |
Device Availability | N |
Device Age | UNKNOWN |
Device Eval'ed by Mfgr | R |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 867859 |
Manufacturer | KWONNIE ELECTRICAL PRODUCTS, LTD. |
Manufacturer Address | * KOWLOON HK |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2007-02-27 |