inforMED
MalfunctionEGJ

ACTION PATCH ELECTRODE

Received Dec 11, 2010 · Event occurred Nov 5, 2010

Report 1721293-2010-00018 · MDR key 1931903

Device

Generic name

Action Patch

Manufacturer

Empi

Catalog number

199488-001

Lot number

81060

Product problems

  • Insufficient Device Problem Information

Patient

Not reported

  • Burn, Thermal

Narrative

Description of Event or Problem

IT WAS REPORTED TO EMPI THAT A PATIENT WAS BURNED USING OUR ACTION PATCH DEVICE. REASONABLE ATTEMPTS WERE MADE TO OBTAIN FURTHER INFORMATION FROM THE USER FACILITY; HOWEVER, NONE WAS PROVIDED.

Additional Manufacturer Narrative

THE SUSPECT DEVICE WAS RETURNED AND AN EVALUATION WAS PERFORMED. THE DEVICE DID NOT MEET PHYSICAL SPECIFICATIONS DUE TO THE KARAYA GEL MISSING. THE PATCH WAS ALSO USED PAST THE EXPIRATION DATE OF AUGUST 2010. IF THE ACTION PATCH WAS USED WITHOUT KARAYA GEL THIS COULD CAUSE A BURN. IF MORE INFORMATION BECOMES AVAILABLE, A FOLLOW UP REPORT WILL BE FILED.