INNOVO, TYPE NUMBER 208
Received Mar 14, 2024 · Event occurred May 1, 2023
Report 3015223097-2024-00001 · MDR key 18901373
Device
Generic name
Cutaneous Electrode Stimulator For Urinary Incontinence
Manufacturer
Atlantic TherapetucisModel number
208Catalog number
0208-5036
Lot number
2200008BO
Product problems
- Adverse Event Without Identified Device or Use Problem
- Insufficient Device Problem Information
- Adverse Event Without Identified Device or Use Problem
- Insufficient Device Problem Information
Patient
NA · Female
- Transient Ischemic Attack
- Insufficient Information
- Transient Ischemic Attack
- Insufficient Information
Narrative
Description of Event or Problem
IN MAY 2023 THE CUSTOMER EXPERIENCED TIA (TRANSIENT ISCHEMIC ATTACK). IT IS UNKNOWN AT THIS POINT IN TIME IF THE CUSTOMER EXPERIENCED THE TIA DURING TREATMENT. CUSTOMER SERVICE REPRESENTATIVE ADVISED THE CUSTOMER TO CEASE USE OF THE DEVICE IMMEDIATELY. CUSTOMER PROVIDED A PHYSICIAN LETTER CONFIRMING THE CUSTOMER IS CONTRAINDICATED DUE TO PRE EXISTING MEDICAL PROBLEMS THAT EXISTED BEFORE PURCHASE OF THE DEVICE. ADDITIONAL INFORMATION HAS BEEN REQUESTED TO AID WITH THE INVESTIGATION AND ANY INFORMATION RECEIVED WILL BE INCLUDED IN THE FOLLOW UP REPORT.
Description of Event or Problem
FINAL REPORT SUBMITTED - RETURN DEVICE EVALUATION. IN (B)(6) 2023 THE CUSTOMER EXPERIENCED TIA (TRANSIENT ISCHEMIC ATTACK). IT IS UNKNOWN AT THIS POINT IN TIME IF THE CUSTOMER EXPERIENCED THE TIA DURING TREATMENT. CUSTOMER SERVICE REPRESENTATIVE ADVISED THE CUSTOMER TO CEASE USE OF THE DEVICE IMMEDIATELY. CUSTOMER PROVIDED A PHYSICIAN LETTER CONFIRMING THE CUSTOMER IS CONTRAINDICATED DUE TO PRE EXISTING MEDICAL PROBLEMS THAT EXISTED BEFORE PURCHASE OF THE DEVICE. ADDITIONAL INFORMATION HAS BEEN REQUESTED TO AID WITH THE INVESTIGATION AND ANY INFORMATION RECEIVED WILL BE INCLUDED IN THE FOLLOW UP REPORT. FINAL REPORT COMMENTS: CUSTOMER WAS CONTACTED BY THE CUSTOMER CARE TEAM ON (B)(6) 2024 AND (B)(6) 2024 REQUESTING ADDTIONAL INFORMATION TO AID THE INVESTIGATION HOWEVER NO RESPONSE HAS BEEN RECEIVED AS OF (B)(6) 2024. THE INNOVO SHORTS AND CONTROLLER WERE RETURNED TO GALWAY, IRELAND ON THE 27TH MAR 2024 AND INSPECTED FOR DEFECTS. THE INNOVO SHORTS PASSED VISUAL INSPECTION. THE CONTROLLER WAS ASSESSED AND IT WAS OBSERVED THAT NO TREATMENT SESSIONS WERE RECORDED, THEREFORE THE SHORTS AND DEVICE WERE NOT USED BY THE CUSTOMER. THE ADVERSE EVENT REPORTED BY THE CUSTOMER IS NOT RELATED TO THE USE OF THE INNOVO DEVICE.
Additional Manufacturer Narrative
BASED ON THE INVESTIGATION OF THE RETURNED DEVICE, THE CONTROLLER WAS ASSESSED AND IT WAS OBSERVED THAT NO TREATMENT SESSIONS WERE RECORDED, THEREFORE THE SHORTS AND DEVICE WERE NOT USED BY THE CUSTOMER. THE ADVERSE EVENT REPORTED BY THE CUSTOMER IS NOT RELATED TO THE USE OF THE INNOVO DEVICE.