FDA Adverse Event
Injury
Summary report: N
THERMACHOICE
MDR report key: 1639108
·
Received March 19, 2010
Report
- Report Number
- MW5015245
- Event Type
- Injury
- Date Received
- March 19, 2010
- Date of Event
- March 10, 2010
- Report Date
- March 19, 2010
- Manufacturer
- CQ LABS
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING THE DILATATION AND CURETTAGE AND ENDOMETRIAL ABLATION PROCEDURE, TRUMPET VALVE WAS NOT WORKING PROPERLY. THE SURGEON ATTEMPTED TO HEAT THE WATER UP, BUT IT DECLARED THAT THERE WAS A HEATING ERROR BEFORE IT COULD EVEN REACH THE 87 DEGREES CELSIUS. AT THAT TIME, WE DECIDED TO GO AHEAD AND USE THE HYDRO THERMOABLATION EQUIPMENT PANNICULECTOMY AND ABDOMINAL PLASTIC SURGERY REMOVING EXCESS SKIN IN PANNICULUS IN 2007, HYPOTHYROIDISM. HERNIA REPAIR, CHOLECYSTECTOMY, CAESAREAN SECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | THERMACHOICE | ABLATION | GEI | CQ LABS | TC003 | CBMG02 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Disability |