BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDSTONE STS LITHOTRIPTER

    MDR report key: 172991 · Received June 15, 1998

    Report

    Report Number
    2082981-1998-00001
    Event Type
    Injury
    Date Received
    June 15, 1998
    Date of Event
    February 25, 1998
    Report Date
    June 11, 1998
    Manufacturer
    MEDSTONE INTERNATIONAL, INC.
    Product Code
    LNS
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE PT WAS TREATED ON THE MEDSTONE STS LITHOTRIPTER ON 2/25/1995. THE PT IS REPORTED TO BE ON KIDNEY DIALYSIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDSTONE STS LITHOTRIPTER LITHOTRIPTER, EXTRACORPOREAL SHOCKWAVE LNS MEDSTONE INTERNATIONAL, INC. MEDSTONE STS *

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other