FDA Adverse Event Injury Summary report: N

TX1 TISSUE REMOVAL SYSTEM - MICROTIP

MDR report key: 10286316 · Received July 16, 2020

Report

Report Number
1000135560-2020-00031
Event Type
Injury
Date Received
July 16, 2020
Date of Event
February 6, 2020
Report Date
July 20, 2020
Manufacturer
TENEX HEALTH, INC.
Product Code
LFL
PMA / PMN Number
K123640
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

FOLLOW-UP REPORT #01. FIELDS B4, G7, H2, H6 AND H10 UPDATED. OUR COMPANY CHIEF MEDICAL OFFICER INVESTIGATED THE REPORT AND ADVERSE EVENT WITH THE PATIENT AND PARTICIPATING PHYSICIANS, AND REVIEWED PATIENT X-RAYS. NO DEVICE OR PROCEDURE ISSUES WERE IDENTIFIED OR SUSPECTED. HE FURTHER REVIEWED THE ORTHOPAEDIC LITERATURE FOR ADDITIONAL INFORMATION. NO SIMILAR CASE WAS IDENTIFIED. HE THEN REVIEWED THE CASE WITH EXPERIENCED ELBOW SURGEONS. THEY HAD NOT HEARD OF SUCH AN ISSUE AND COULD NOT CONCEIVE OF SUCH RESULTING FROM A PERCUTANEOUS PROCEDURE SUCH AS THAT PERFORMED WITH THE TENEX HEALTH DEVICE. WE THEREFORE CONCLUDE THAT THE REPORTED PATIENT INJURY IS NOT RELATED TO THE PROCEDURE WITH THE TENEX HEALTH DEVICES.

Additional Manufacturer Narrative · 1

A PATIENT CONTACTED TENEX HEALTH TO REPORT PAIN, DELAYED HEALING AND MOBILITY LIMITATIONS FOLLOWING A PROCEDURE WITH A TENEX HEALTH DEVICE. THE SPECIFIC DEVICE WAS NOT IDENTIFIED. IT IS REPORTED ON THIS MDR AS THE TX1 TISSUE REMOVAL SYSTEM - MICROTIP. THE PATIENT HAD A PROCEDURE WITH THE TENEX DEVICE ON HIS LEFT ELBOW/EPICONDYLE IN (B)(6) 2020. HE HAD PREVIOUSLY HAD A PROCEDURE ON HIS RIGHT ELBOW/EPICONDYLE WITH A TENEX DEVICE IN (B)(6) OF 2017. FOLLOWING THE SECOND PROCEDURE, HE EXPERIENCED PAIN AND DELAYED HEALING IN THE LEFT ELBOW AND LIMITED MOBILITY IN BOTH ELBOWS. HE HAS EXPERIENCED DIFFICULTY WITH FLAT HAND USAGE, TURNING HIS ELBOWS BEYOND 60 DEGREES AND ACTIVITIES LIKE BICYCLING AND TYPING. THERE APPEARS TO BE A LOSS OF FOREARM ROTATION (PRONATION). NO SPECIFIC ISSUE WITH A TENEX HEALTH DEVICE OR ITS USE THAT COULD HAVE CAUSED THE PROBLEM WAS IDENTIFIED.

Description of Event or Problem · 1

A PATIENT REPORTED POST-PROCEDURAL PAIN, DELAYED HEALING AND FOREARM MOBILITY LIMITATION FOLLOWING A PROCEDURE ON HIS ELBOW/EPICONDYLE WITH A TENEX HEALTH DEVICE. IT IS UNCLEAR IF THE ISSUES WERE RELATED TO TREATMENT WITH THE TENEX HEALTH DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
745988 TX1 TISSUE REMOVAL SYSTEM - MICROTIP INSTRUMENT, ULTRASONIC SURGICAL LFL TENEX HEALTH, INC. 554-1003-001 NI

Patients

Seq Age Sex Outcome Treatment
1 Other