FDA Adverse Event
Injury
Summary report: N
BTG CRYOABLATION ICEFORCE 2.1CX90 CRYOABLATION NEEDLE
MDR report key: 16312223
·
Received February 6, 2023
Report
- Report Number
- MW5114736
- Event Type
- Injury
- Date Received
- February 6, 2023
- Date of Event
- January 19, 2023
- Report Date
- February 2, 2023
- Manufacturer
- GALIL MEDICAL LTD
- Product Code
- GEH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING A CT GUIDED CYROABLATION PROCEDURE, SEVERAL CRYO PROBES FAILED, RESULTING IN AN INCOMPLETE ABLATION OF THE MASS, ALSO RESULTED IN FROST BITE TO THE PATIENT'S SKIN AT THE PROBE INSERTION SITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 115959 | BTG CRYOABLATION ICEFORCE 2.1CX90 CRYOABLATION NEEDLE | UNIT, CRYOSURGICAL, ACCESSORIES | GEH | GALIL MEDICAL LTD | FPRPR3602 | 30125796 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR | Female |