FDA Adverse Event
Malfunction
Summary report: N
THUVERA 200UM SINGLE USE FLAT TIP FIBER
MDR report key: 23613649
·
Received November 21, 2025
Report
- Report Number
- 3020221089-2025-00001
- Event Type
- Malfunction
- Date Received
- November 21, 2025
- Date of Event
- October 15, 2025
- Report Date
- November 20, 2025
- Manufacturer
- IPG MEDICAL CORPORATION
- Product Code
- GEX
- UDI-DI
- 00810071230035
- PMA / PMN Number
- K232568
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL INFORMATION REGARDING THE EVENT AND RETURN OF THE DEVICE HAVE BEEN REQUESTED FROM THE REPORTER. NO ADDITIONAL INFORMATION HAS BEEN PROVIDED. WITHOUT THE LOT NUMBER OR DEVICE, NO INVESTIGATION CAN BE CONDUCTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT A FIBER TIP BROKE OFF IN PATIENT. THE PHYSICIAN TRIED TO BASKET OUT THE BROKEN PIECE OF FIBER BUT WAS NOT SUCCESSFUL. NEXT COURSE OF ACTION IS UNKNOWN. THERE WERE NO PATIENT COMPLICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2022944 | THUVERA 200UM SINGLE USE FLAT TIP FIBER | SURGICAL LASER FIBER | GEX | IPG MEDICAL CORPORATION | UNK | 00810071230035 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |