inforMED
InjuryIPF

INTELECT XT 4CH COMBO

Received Nov 7, 2011 · Event occurred Aug 10, 2011

Report 9616086-2011-00128 · MDR key 2329943

Device

Generic name

Electrotherapy Clinical

Manufacturer

Djo, Llc

Model number

2786

Product problems

  • Insufficient Device Problem Information

Patient

73 YR

  • Burn, Thermal

Narrative

Description of Event or Problem

CLINICIAN NOTIFIED DJO THAT PT UNDERGOING THERAPY WITH DJO PRODUCED INTELECT XT 4CH COMBO CLINICAL ELECTROTHERAPY BURN PT WHICH LEFT A SMALL RED MARK ON THE BACK OF THE PT. THERAPY WAS DISCONTINUED. UNKNOWN IF FURTHER INTERVENTION WAS REQUIRED.

Additional Manufacturer Narrative

DEVICE WAS EVALUATED BY DJO TECHNICAL SERVICE. CHANNEL 1 LEAD WIRE EXHIBITED IMPEDANCE GREATER THAN 2 OHM MAXIMUM. CHANNEL 2 LEAD WIRE WAS OPEN. THIS CONDITION MAY HAVE LEAD TO THE BURN THE PT REPORTED. INITIAL REPORT DATED (11/03/2011) WAS SUBMITTED UNDER DUPLICATE REPORT NUMBER. CORRECT NUMBER IS 9616086-2011-00128 AS ENTERED ON THIS FORM 3500A. INCORRECT REPORT NUMBER WAS 9616086-2011-00128.