FDA Adverse Event
Malfunction
Summary report: N
PROFLEX¿
MDR report key: 24828606
·
Received April 9, 2026
Report
- Report Number
- 24828606
- Event Type
- Malfunction
- Date Received
- April 9, 2026
- Date of Event
- April 5, 2026
- Report Date
- April 6, 2026
- Manufacturer
- INNOVAQUARTZ LLC
- Product Code
- GEX
- UDI-DI
- 00816959020521
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
DURING A UROLOGY SURGICAL PROCEDURE USING A LASER FIBER AND MACHINE SUPPLIED BY ROCKY TOP LITHO, A LASER WIRE BURST IN THE PROVIDER'S HANDS AND HAD TO BE REMOVED FROM THE FIELD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 557451 | PROFLEX¿ | POWERED LASER SURGICAL INSTRUMENT | GEX | INNOVAQUARTZ LLC | SINGLE USE 200 LASER LITHOTRIPSY FIBER | 25125002 | 00816959020521 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |