inforMED
MalfunctionEGJ

ACTION PATCH

Received Sep 23, 2011 · Event occurred Aug 23, 2011

Report 1721293-2011-00009 · MDR key 2261257

Device

Generic name

Action Patch

Manufacturer

Empi, Inc.

Model number

199488-001

Product problems

  • Detachment Of Device Component

Patient

Not reported

  • No Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT WHEN THE CUSTOMER WAS REMOVING THE ACTION PATCH FROM THE RELEASE LINER CARD THE PATCH PULLED AWAY FROM THE BATTERY. THE PATCH WAS NOT USED.

Additional Manufacturer Narrative

THE REASON THAT PIECES OF THE ELECTRODE ASSEMBLY WERE COMING APART UPON ATTEMPTED REMOVAL IS THAT THE ELECTRODE WILL NOT EASILY RELEASE FROM THE (B)(4) COATED SIDE. THE ELECTRODE WAS PLACED ON THE INCORRECT SIDE OF THE RELEASE LINER. THIS IS A CONSEQUENCE OF AN OPERATOR ERROR DURING MANUFACTURING. THE CLINIC DID NOT USE THE ELECTRODE. "THIS MDR IS BEING REPORTED BECAUSE IN SOME SITUATIONS SUCH AS A MALFUNCTION COULD CONTRIBUTE TO A SERIOUS INJURY IF IT WERE TO RECUR."