FDA Adverse Event
Injury
Summary report: N
CHECKPOINT HEAD AND NECK
MDR report key: 11985084
·
Received June 11, 2021
Report
- Report Number
- 3012222873-2020-00001
- Event Type
- Injury
- Date Received
- June 11, 2021
- Date of Event
- July 24, 2020
- Report Date
- August 25, 2020
- Manufacturer
- CHECKPOINT SURGICAL INC.
- Product Code
- ETN
- PMA / PMN Number
- K150005
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 1
HOSPITAL REPORTED DEVICE FAILED TO DETECT NERVE ACTIVITY RESULTING IN PATIENT INJURY, NERVE SEVERED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 877449 | CHECKPOINT HEAD AND NECK | CHECKPOINT HEAD AND NECK | ETN | CHECKPOINT SURGICAL INC. | 9394 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |