FDA Adverse Event
Other
Summary report: N
MEGA JOULE LDD
MDR report key: 17756359
·
Received September 14, 2023
Report
- Report Number
- MW5145686
- Event Type
- Other
- Date Received
- September 14, 2023
- Date of Event
- September 7, 2023
- Report Date
- September 12, 2023
- Manufacturer
- INNOVAQUARTZ LLC
- Product Code
- GEX
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- 501
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING CYSTOSCOPY WITH PHOTO SELECTIVE VAPORIZATION OF PROSTATE THE MEGA JOULE LLD SINGLE USE LASER PROBE STARTED TO MELT AT THE PLUG INTO THE THUL-60 THULIUM QUANTA CYBER TM 200 MACHINE SERIAL (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 295131 | MEGA JOULE LDD | POWERED LASER SURGICAL INSTRUMENT | GEX | INNOVAQUARTZ LLC | MJLDD660 | 07423002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Male |