Brand Name | CALA TRIO |
Type of Device | EXTERNAL UPPER LIMB TREMOR STIMULATOR |
Manufacturer (Section D) |
|
MDR Report Key | 14267674 |
MDR Text Key | 290685750 |
Report Number | MW5109481 |
Device Sequence Number | 1 |
Product Code |
QBC
|
Combination Product (y/n) | Y |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
04/29/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/02/2022 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Lay User/Patient
|
Is the Reporter a Health Professional? |
Yes
|
Patient Sequence Number | 1 |
Patient Age | 77 YR |
Patient Sex | Male |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
|
|