FDA Adverse Event
Injury
Summary report: N
NEUROMARK SYSTEM
MDR report key: 13497847
·
Received February 9, 2022
Report
- Report Number
- 3016813690-2022-00001
- Event Type
- Injury
- Date Received
- February 9, 2022
- Date of Event
- December 8, 2021
- Report Date
- February 7, 2022
- Manufacturer
- NEURENT MEDICAL LTD.
- Product Code
- GEI
- PMA / PMN Number
- K212666
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLEEDING IS A KNOWN POTENTIAL ADVERSE EVENT AND IS DOCUMENTED IN THE DEVICE LABELLING.
Description of Event or Problem · 0
A PATIENT TREATED WITH THE NEUROMARK SYSTEM PRESENTED WITH EPISTAXIS IN RIGHT NASAL CAVITY. SEPTOPLASTY AND CAUTERIZATION WAS PERFORMED. THE SAE IS RESOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 574623 | NEUROMARK SYSTEM | RADIOFREQUENCY PROBE | GEI | NEURENT MEDICAL LTD. | FS-003-00 | 61155 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Female | Hospitalization |