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