FDA Adverse Event
Death
Summary report: N
J-PLASMA
MDR report key: 17374078
·
Received July 20, 2023
Report
- Report Number
- MW5119814
- Event Type
- Death
- Date Received
- July 20, 2023
- Date of Event
- July 3, 2023
- Report Date
- July 15, 2023
- Manufacturer
- APYX MEDICAL CORPORATION
- Product Code
- GEI
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OR, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
- Health Professional
- *
Narratives
Description of Event or Problem · 0
ACCORDING TO DOCTOR HE HAD PERFORMED LIPOSUCTION ON NECK AND ABDOMEN AND HAD GONE BACK TO REFORM "SKIN TIGHTENING" WITH J-PLASMA WHEN MY DAUGHTER, (B)(6) CODED. AMBULANCE WAS CALLED AND SHE WAS TAKEN TO CEDARS SINAI WHERE IT WAS DETERMINED SHE SUFFERED CATASTROPHIC BRAIN DAMAGE INCONSISTENT WITH LIFE. SHE WAS REMOVED FROM THE EMCO (EXTRACORPOREAL MEMBRANE OXYGENATION) AND RESPIRATOR AND VENTILATOR ON (B)(6) 2023 AND PASSED AWAY MINUTES LATER. CORONERS INVESTIGATION IS PENDING. ALSO SECOND AUTOPSY WILL BE PERFORMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 771878 | J-PLASMA | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | APYX MEDICAL CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Female | Death| L| H | "OWLBREE" 200 MG 1XQD PRISTIQ 100MG 1XQD (GENERIC) |