INTELLECT VMS II UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-11-04 for INTELLECT VMS II UNKNOWN manufactured by Chattanooga.

Event Text Entries

[18610815] An intellect vms ii was used in conjunction with hot packs. Patient felt a sudden surge in strength or power from the machine-complained of an increase in muscle spasm in his back and somse change in his visual acuity. The pads had been placed lower lumbar rwegion. After the complaint, the machine was taken out of service. Machine turned off, reported to supervisor and biomed notified. Biomed was not able to find the cause of the surge in power. Biomed notified the manufacturer, which recommended the unit be sent to them for a complete diagnostic testinvalid data - regarding single use labeling of device. Patient medical status prior to event: unknown. Invalid data - regarding multiple patient involvement. Device serviced in accordance with service schedule. Date last serviced: 01-sep-92. Service provided by: unknown. Invalid data - service records availability. Invalid data - regarding whether event presents imminent hazard. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: none or unknown. Results of evaluation: none or unknown. Conclusion: none or unknown. Certainty of device as cause of or contributor to event: unknown (cannot determine). Corrective actions: device permanently removed from service, device returned to manufacturer/dealer/distributor. The device was not destroyed/disposed of.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1621
MDR Report Key1621
Date Received1992-11-04
Date of Report1992-10-28
Date of Event1992-10-20
Date Facility Aware1992-10-21
Report Date1992-10-28
Date Reported to FDA1992-10-28
Date Reported to Mfgr1992-10-28
Date Added to Maude1992-11-05
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameINTELLECT VMS II
Generic NameSTIMULATOR
Product CodeGZI
Date Received1992-11-04
Model NumberVMS II
Catalog NumberUNKNOWN
Lot NumberUNKNOWN
ID NumberCE 1665
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Implant Flag*
Device Sequence No1
Device Event Key1543
ManufacturerCHATTANOOGA


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1992-11-04

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.