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