FDA Adverse Event
Injury
Summary report: N
EXABLATE 4000
MDR report key: 11947191
·
Received June 7, 2021
Report
- Report Number
- 9615058-2021-00013
- Event Type
- Injury
- Date Received
- June 7, 2021
- Report Date
- June 7, 2021
- Manufacturer
- INSIGHTEC LTD
- Product Code
- POH
- PMA / PMN Number
- P150038
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
BASED ON THE AVAILABLE INFORMATION, THE COMPANY DOES NOT HAVE ENOUGH DETAILS TO INVESTIGATE. NO FURTHER INFORMATION WAS RECEIVED REGARDING THIS CASE SO FAR.
Description of Event or Problem · 1
THIS COMPLAINT WAS RECEIVED FROM THE COMPANY (B)(6) PAGE. IN THE POST THE PATIENT MENTIONED FEW SIDE EFFECTS THAT PERSIST 4 YEARS AFTER ESSENTIAL TREMOR TREATMENT : IMBALANCE, GAIT DISTURBANCE, NUMBNESS AND TASTE BUDS FUNCTIONING (DYSGEUSIA).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 841622 | EXABLATE 4000 | MR GUIDED FOCUSED ULTRASOUND SYSTEM | POH | INSIGHTEC LTD | 4000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Disability |