inforMED
MalfunctionEGJ

HYBRESIS

Received Nov 30, 2012 · Event occurred Oct 4, 2012

Report 1721293-2012-00007 · MDR key 2853151

Device

Generic name

Hybresis

Manufacturer

Empi, Inc.

Model number

199589-001

Lot number

UNKNOWN

Product problems

  • Overheating of Device

Patient

68 YR

  • Burn(s)
  • Irritation
  • Pain
  • Partial thickness (Second Degree) Burn

Narrative

Description of Event or Problem

IT WAS REPORTED TO EMPI THAT A PATIENT WAS BURNED DURING A HYBRESIS TREATMENT. THE PATIENT WAS DIAGNOSED WITH RIGHT KNEE PAIN. THE THERAPY PERFORMED BEFORE THE TREATMENT WAS MASSAGE AND THERAPEUTIC EXERCISE. THE COMPOUND USED WAS DEXAMETHAXONE, 1.4ML CONCENTRATION WAS 0.4%. THE COMPOUND WAS PLACED ON THE NEGATIVE SIDE OF THE PATCH AND SALINE WAS PLACED ON THE POSITIVE SIDE OF THE PATCH. THE HYBRESIS TREATMENT WAS FOR TWO HOURS AND IN HYBRESIS MODE. THE PATIENT NOTICED IRRITATION, BURNING AND STINGING WITHIN THE FIRST HOUR INTO THE TREATMENT, BUT LEFT THE PATCH ON FOR TWO HOURS. THE DEGREE OF BURN WAS SECOND DEGREE, AND UNDER THE BATTERY AREA OF THE PATCH. THE PATIENT DID NOT RECEIVE MEDICAL TREATMENT FOR THIS INCIDENT.

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED FOR INVESTIGATION. THIS REPORT IS BEING SUBMITTED BECAUSE EMPI HAS RECEIVED A SIMILAR COMPLAINT THAT SUGGESTS THAT THIS DEVICE MAY HAVE MALFUNCTIONED IN SUCH A WAY THAT IT COULD HAVE CONTRIBUTED TO THIS INJURY. PATCH DISGARDED BY USER.