FDA Adverse Event
Malfunction
Summary report: N
UROLOGY SET
MDR report key: 19759955
·
Received July 17, 2024
Report
- Report Number
- 19759955
- Event Type
- Malfunction
- Date Received
- July 17, 2024
- Date of Event
- April 9, 2024
- Report Date
- April 25, 2024
- Manufacturer
- THERMEDX, LLC
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
RED PORTION OF INFLOW TUBING FOR THE THERMEDX IN UROLOGY HAD A HOLE IN THE MIDDLE OF IT AND WATER WENT EVERYWHERE AS CASE WAS STARTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2507556 | UROLOGY SET | ARTHROSCOPE | HRX | THERMEDX, LLC | LL0006 | 114437 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Male |