EDISON
Report
- Report Number
- 3027664504-2025-00024
- Event Type
- Death
- Date Received
- September 26, 2025
- Date of Event
- September 24, 2025
- Report Date
- April 6, 2026
- Manufacturer
- HISTOSONICS, INC.
- Product Code
- QGM
- UDI-DI
- 00850006962082
- PMA / PMN Number
- K241902
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
NO DEVICE MALFUNCTIONS OR OTHER NOTEWORTHY EVENTS OCCURRED DURING THE CASE.
NO DEVICE MALFUNCTIONS OR OTHER NOTEWORTHY EVENTS OCCURRED DURING THE CASE.
ON (B)(6) 2025, A 71-YEAR-OLD FEMALE PATIENT WITH A HISTORY OF HEPATOCELLULAR CARCINOMA RECEIVED HISTOTRIPSY TREATMENT TO TWO LESIONS ON SEGMENT V OF THE LIVER, FOR A TOTAL PLANNED TREATMENT VOLUME (PTV) OF 24.6 CC. A BLEED WAS NOTICED DURING POST IMAGING VIA CT WITH CONTRAST. THE PATIENT WAS MOVED TO ANOTHER OPERATING ROOM TO EMBOLIZE THE BLEED. PER ANOTHER TREATING PHYSICIAN, THE PATIENT IS STABILIZED BUT HAS NOT FULLY RECOVERED. ANGIOGRAPHY REVEALED FINDINGS SUGGESTIVE OF UNDERLYING VASCULITIS.
THROUGH A PUBLISHED JOURNAL ARTICLE (BREUER J, ET AL. VASCULAR INJURY AFTER HISTOTRIPSY: A CASE SERIES OF HEMORRHAGE AND PSEUDOANEURYSM COMPLICATIONS IN HUMAN PATIENTS JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2026; 37) THE MANUFACTURER BECAME AWARE OF THE SUBSEQUENT CLINICAL COURSE AND OUTCOME OF THE PREVIOUSLY REPORTED PATIENT. FOLLOWING THE REPORTED POST-PROCEDURAL HEMORRHAGE REQUIRING EMBOLIZATION, THE PATIENT DEVELOPED HEMORRHAGIC SHOCK AND SUBSEQUENT HEPATIC DECOMPENSATION, PROGRESSING TO FULMINANT HEPATIC FAILURE. DESPITE INTENSIVE CARE MANAGEMENT, THE PATIENT WAS TRANSITIONED TO COMFORT CARE AND EXPIRED ON POST-PROCEDURE DAY 28. HISTOSONICS IS REPORTING THIS FOLLOW UP DUE TO PROXIMITY TO PROCEDURE (WITHIN 30-DAYS). OF NOTE, THE MANUSCRIPT PROVIDED ADDITIONAL INFORMATION INCLUDING: THE PATIENT "HAD METABOLIC ASSOCIATED STEATOHEPATITIS (MELD 27, CHILD-PUGH B, ECOG 2) AND TYPE 2 DIABETES LISTED FOR ORTHOTOPIC LIVER TRANSPLANTATION, PRESENTED WITH A NEW LR-5 SEGMENT 5 OBSERVATION. THE PATIENT DECLINED LOCOREGIONAL THERAPY BUT REPEAT 3-MONTH IMAGING DEMONSTRATED INTERVAL GROWTH. BIOPSY CONFIRMED HEPATOCELLULAR CARCINOMA. AFTER HOSPITALIZATION FOR DECOMPENSATION, HISTOTRIPSY WAS OFFERED AS THE LEAST INVASIVE TREATMENT OPTION." OF NOTE, PER THE TREATING PHYSICIAN, THE HISTOTRIPSY TREATMENT VOLUME INCLUDED THE TUMOR THAT WAS RECENTLY BIOPSIED SUGGESTING A POSSIBLE COMPROMISE OF THE CAPSULE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2113067 | EDISON | FOCUSED ULTRASOUND SYSTEM FOR NON-THERMAL, MECHANICAL TISSUE ABLATION | QGM | HISTOSONICS, INC. | 00850006962082 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Female | Hospitalization| R |