FDA Adverse Event
Injury
Summary report: N
EXABLATE 4000
MDR report key: 14451231
·
Received May 20, 2022
Report
- Report Number
- 9615058-2022-00014
- Event Type
- Injury
- Date Received
- May 20, 2022
- Date of Event
- April 22, 2022
- Report Date
- May 18, 2022
- Manufacturer
- INSIGHTEC LTD.
- Product Code
- POH
- UDI-DI
- 07290015461021
- PMA / PMN Number
- P150038
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THIS COMPLAINT INCLUDED KNOWN SIDE EFFECTS. NO NEW RISKS WERE RECOGNIZED.
Description of Event or Problem · 0
PHYSICIAN REPORTED PATIENT HAD HEMIPARESIS, TWO DAYS AFTER TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2346029 | EXABLATE 4000 | MR GUIDED FOCUSED ULTRASOUND SYSTEM | POH | INSIGHTEC LTD. | 4000 | 07290015461021 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Disability |