FDA Adverse Event Injury Summary report: N

EXABLATE 4000

MDR report key: 22902650 · Received August 27, 2025

Report

Report Number
9615058-2025-00036
Event Type
Injury
Date Received
August 27, 2025
Date of Event
July 28, 2025
Report Date
November 30, 2025
Manufacturer
INSIGHTEC LTD.
Product Code
POH
UDI-DI
07290015461091
PMA / PMN Number
P150038
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IMBALANCE/FALLING IS A KNOWN SIDE EFFECT LISTED IN THE INFORMATION FOR PRESCRIBERS. THE INVESTIGATION OF THIS INCIDENT HAS NOT YET BEEN COMPLETED AND THIS REPORT WILL BE UPDATED FOLLOWING A FINALIZED INVESTIGATION. NOTE: INSIGHTEC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE.

Additional Manufacturer Narrative · 0

IMBALANCE/FALLING IS A KNOWN SIDE EFFECT LISTED IN THE INFORMATION FOR PRESCRIBERS. NOTE: INSIGHTEC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. INSIGHTEC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

FOLLOWING FOCUSED ULTRASOUND TREATMENT FOR ESSENTIAL TREMOR (SECOND SIDE TREATMENT), THE PATIENT FELL AND WAS TAKEN TO THE EMERGENCY ROOM.

Description of Event or Problem · 0

FOLLOWING FOCUSED ULTRASOUND TREATMENT FOR ESSENTIAL TREMOR (SECOND SIDE TREATMENT), THE PATIENT FELL AND WAS TAKEN TO THE EMERGENCY ROOM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1380496 EXABLATE 4000 MR GUIDED FOCUSED ULTRASOUND SYSTEM POH INSIGHTEC LTD. 4000 07290015461091

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Disability