FDA Adverse Event Injury Summary report: N

EDISON

MDR report key: 23383545 · Received October 24, 2025

Report

Report Number
3027664504-2025-00031
Event Type
Injury
Date Received
October 24, 2025
Date of Event
September 26, 2025
Report Date
October 24, 2025
Manufacturer
HISTOSONICS, INC.
Product Code
QGM
UDI-DI
00850006962082
PMA / PMN Number
K241902
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO DEVICE MALFUNCTIONS OR OTHER NOTEWORTHY EVENTS OCCURRED DURING THE CASE.

Description of Event or Problem · 0

ON (B)(6) 2025, AN 84-YEAR-OLD MALE PATIENT WITH A HISTORY OF HEPATOCELLULAR CHOLANGIOCARCINOMA RECEIVED TWO OVERLAPPING HISTOTRIPSY TREATMENTS TO A SINGLE LESION WHICH HAD BEEN PREVIOUSLY TREATED WITH Y90. THE TOTAL PLANNED TREATMENT VOLUME (PTV) WAS 43.8 CC. ON THE DAY OF THE HISTOTRIPSY PROCEDURE, THE PATIENT'S PLATELET COUNT WAS 44 ×10^9/L, AND A PLATELET TRANSFUSION WAS ADMINISTERED IMMEDIATELY PRIOR TO THE PROCEDURE. POST PROCEDURE COMPUTED TOMOGRAPHY ANGIOGRAPHY (CTA) DEMONSTRATED AN ACTIVE BLEED FROM THE LESION. THE PATIENT WAS TAKEN FOR ANGIOGRAM WITH EMBOLIZATION OF THE TUMORAL VESSEL. THE PATIENT STAYED IN ICU THE NIGHT OF TREATMENT FOR OBSERVATION WITH STABLE HEMOGLOBIN. PATIENT WAS CALLED ON (B)(6) AND IS DOING WELL. ONE-MONTH FOLLOW UP MRI IS PLANNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1703587 EDISON Focused ultrasound system for non-thermal, mechanical tissue ablation QGM HISTOSONICS, INC. 00850006962082

Patients

Seq Age Sex Outcome Treatment
1 84 YR Male Required Intervention