FDA Adverse Event Injury Summary report: N

EDISON

MDR report key: 23831570 · Received December 17, 2025

Report

Report Number
3027664504-2025-00040
Event Type
Injury
Date Received
December 17, 2025
Date of Event
November 15, 2025
Report Date
December 17, 2025
Manufacturer
HISTOSONICS, INC.
Product Code
QGM
UDI-DI
00850006962082
PMA / PMN Number
K241902
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
HK
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, A 71-YEAR-OLD MALE PATIENT WITH A HISTORY OF HEPATOCELLULAR CARCINOMA RECEIVED HISTOTRIPSY TREATMENT(S) TO TWO LESIONS IN LIVER SEGMENT V. THE PATIENT HAS A HISTORY OF CHRONIC HEPATITIS B (HBSAG POSITIVE) AND THYROID CARCINOMA STATUS POST RESECTION IN 2005. HE WAS DIAGNOSED WITH GRADE 2 HEPATOCELLULAR CARCINOMA AND UNDERWENT A PARTIAL RIGHT HEPATECTOMY IN 2007, WITH SUBSEQUENT RECURRENCE TREATED WITH FIVE SESSIONS OF TRANSARTERIAL CHEMOEMBOLIZATION BETWEEN 2008 AND 2023. HIS COURSE WAS COMPLICATED BY LIVER ABSCESSES REQUIRING DRAINAGE IN (B)(6) 2023, (B)(6) 2024. AN MRI PERFORMED IN CHINA ON (B)(6) 2025 SUGGESTED TWO HEPATIC LESIONS, WITH AN ALPA FETO-PROTEIN (AFP) LEVEL OF 3.0. THE PATIENT RECEIVED 1.2G OF AUGMENTIN VIA IV PROPHYLACTICALLY, ONE HOUR PRIOR TO HISTOTRIPSY. THE PATIENT WAS STABLE POST-PROCEDURE. THE FOLLOWING DAY, THE PATIENT DEVELOPED SEPSIS WITH A WHITE BLOOD CELL COUNT OF 18.7; BLOOD CULTURES GREW E. COLI AND KLEBSIELLA OXYTOCA. THIS SEPSIS WAS TREATED WITH IV ERTAPENEM (INVANZ) WITH SUBSEQUENT CONTROL AND THE PATIENT WAS SUBSEQUENTLY DISCHARGED HOME ON (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2245911 EDISON Focused ultrasound system for non-thermal, mechanical tissue ablation QGM HISTOSONICS, INC. 00850006962082

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male Hospitalization| R