FDA Adverse Event
Injury
Summary report: N
TX SYSTEM - TX2 MICROTIP
MDR report key: 20176396
·
Received September 9, 2024
Report
- Report Number
- 1000135560-2024-00033
- Event Type
- Injury
- Date Received
- September 9, 2024
- Date of Event
- September 8, 2023
- Report Date
- September 9, 2024
- Manufacturer
- TENEX HEALTH, INC.
- Product Code
- LFL
- UDI-DI
- 00857156006154
- PMA / PMN Number
- K153299
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A PATIENT RETURNED TO SEE THEIR PHYSICIAN APPROXIMATELY ONE YEAR AFTER A PROCEDURE WITH THE TENEX SYSTEM. THE PATIENT HAD FOOT PAIN IN THE REGION OF TREATMENT. MRI SHOWED A PIECE OF METAL IN THE AREA THAT WAS REMOVED BY A SUBSEQUENT PROCEDURE. IT IS POSSIBLE THAT TREATMENT WITH THE TENEX MICROTIP HAD LEFT A METAL FRAGMENT IN THE TREATMENT AREA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2295632 | TX SYSTEM - TX2 MICROTIP | INSTRUMENT, ULTRASONIC SURGICAL | LFL | TENEX HEALTH, INC. | 554-2003-001 | 2062301 | 00857156006154 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR | Male | Other |