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