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