FDA Adverse Event Other Summary report: N

CELLEX

MDR report key: 1971968 · Received January 24, 2011

Report

Report Number
2523595-2011-00002
Event Type
Other
Date Received
January 24, 2011
Date of Event
January 11, 2011
Report Date
January 24, 2011
Manufacturer
THERAKOS
Product Code
LNR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO REPORTS OF A DEVICE MALFUNCTION HAVE BEEN RECEIVED TO DATE AS IT RELATES TO THIS EVENT. (B)(4).

Description of Event or Problem · 1

PATIENT RECEIVED TREATMENT ON (B)(6) 2011. DURING THAT NIGHT, PATIENT EXPERIENCED HEMATURIA AND FEVER. THERE WAS NO EVIDENCE OF A URINARY TRACT INFECTION. THERE WERE NO RED CELLS SEEN ON THE MICROSCOPY OF THE URINE. PATIENT AGAIN RECEIVED TREATMENT THE FOLLOWING DAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CELLEX CELLEX LNR THERAKOS 6661

Patients

Seq Age Sex Outcome Treatment
1 13 YR Other