FDA Adverse Event Malfunction Summary report: N

MICROTARGETING¿ PLATFORM

MDR report key: 25305898 · Received May 27, 2026

Report

Report Number
3002250546-2026-00002
Event Type
Malfunction
Date Received
May 27, 2026
Date of Event
May 1, 2026
Report Date
May 27, 2026
Manufacturer
FHC, INC.
Product Code
HAW
UDI-DI
00873263005965
PMA / PMN Number
K092192
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FHC IS SUBMITTING THIS REPORT TO COMPLY WITH 21 C.F.R. PART 803, THE MEDICAL DEVICE REPORTING REGULATION. THIS REPORT IS BASED UPON INFORMATION OBTAINED BY FHC, WHICH THE COMPANY MAY NOT HAVE BEEN ABLE TO FULLY INVESTIGATE OR VERIFY PRIOR TO THE DATE THE REPORT WAS REQUIRED BY THE FDA. FHC HAS MADE REASONABLE EFFORTS TO OBTAIN MORE COMPLETE INFORMATION IN THE TIME ALLOTTED AND HAS PROVIDED AS MUCH INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, FHC, OR ITS EMPLOYEES THAT THE DEVICE, FHC OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. IN PARTICULAR, THIS REPORT DOES NOT CONSTITUTE AN ADMISSION BY ANYONE THAT THE PRODUCT DESCRIBED IN THIS REPORT HAS ANY "DEFECTS" OR HAS "MALFUNCTIONED". THESE WORDS ARE INCLUDED IN THE FDA 3500A FORM AND ARE FIXED ITEMS FOR SELECTION CREATED BY THE FDA, TO CATEGORIZE THE TYPE OF EVENT SOLELY FOR THE PURPOSE OF REPORTING PURSUANT TO PART 803. FHC OBJECTS TO THE USE OF THESE WORDS AND OTHERS LIKE IT BECAUSE OF THE LACK OF DEFINITION AND THE CONNOTATIONS IMPLIED BY THESE TERMS. THIS STATEMENT SHOULD BE INCLUDED WITH ANY INFORMATION OR REPORT DISCLOSED TO THE PUBLIC UNDER THE FREEDOM OF INFORMATION ACT.

Description of Event or Problem · 0

ON (B)(6), 2026, AN SEEG PROCEDURE WAS PERFORMED WITH 14 PLANNED TRAJECTORIES AND ONE ADDITIONAL GROUND ELECTRODE, WHICH WAS NOT INCLUDED IN THE NAVIGATION PLAN. THE PROCEDURE WAS DELAYED AND BEGAN AT APPROXIMATELY 7:00 PM. MEASUREMENTS WERE PROVIDED INTRAOPERATIVELY FOR BOTH THE TRACKING STYLET AND THE IMPLANTABLE LEAD. THE TRACKING STYLET WAS ADVANCED TO THE INTENDED DEPTH RELATIVE TO THE PLATFORM HUB. IMPLANTABLE LEADS WERE THEN ADVANCED USING DEPTH MARKINGS ON THE LEAD IN CONJUNCTION WITH THE FIXATION BOLT. FOLLOWING PLACEMENT OF ALL LEADS, INTRAOPERATIVE CT IMAGING INDICATED THAT ALL WERE POSITIONED APPROXIMATELY 4-5 CM DEEPER THAN INTENDED. A CONFIRMATORY CT SCAN PERFORMED IN RADIOLOGY VERIFIED THE FINDING. ALL LEADS WERE SUBSEQUENTLY REMOVED. NO INTRACRANIAL HEMORRHAGE WAS IDENTIFIED ON IMAGING. THE PROCEDURE WAS DISCONTINUED AND NOT COMPLETED AS PLANNED. POST-PROCEDURE FOLLOW-UP AT APPROXIMATELY 72 HOURS INDICATED THE PATIENT EXPERIENCED NO ADVERSE EFFECTS OR COMPLICATIONS. THE PHYSICIAN ACKNOWLEDGED OPERATOR USE ERROR AS THE LIKELY CAUSE AND EXPRESSED INTENT TO PURSUE ADDITIONAL TRAINING PRIOR TO FUTURE USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
497948 MICROTARGETING¿ PLATFORM PLATFORM HAW FHC, INC. MP-KIT-P-EO 00873263005965

Patients

Seq Age Sex Outcome Treatment
1