FDA Adverse Event
Injury
Summary report: N
AMS THERMATRX TMX-3000 OFFICE THERMOTHERAPY
MDR report key: 4241432
·
Received November 10, 2014
Report
- Report Number
- 2183959-2014-00501
- Event Type
- Injury
- Date Received
- November 10, 2014
- Date of Event
- September 8, 2014
- Report Date
- October 14, 2014
- Manufacturer
- AMERICAN MEDICAL SYSTEMS (MN)
- Product Code
- MEQ
- PMA / PMN Number
- P000043
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE CONSOLE IN QUESTION WAS RETURNED FOR EVALUATION. ANALYSIS RESULTS INDICATE THE CONSOLE PERFORMED WITHIN SPECIFICATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE CONSOLE TEMPERATURE WENT BEYOND THE PRESCRIBED TEMPERATURE AND CAUSED DISCOMFORT TO THE PATIENT. IT WAS ALSO INDICATED THAT SOME PATIENT'S NEEDED A CATHETER TO BE INSERTED AFTER TREATMENT DUE TO URINARY RETENTION. NO ADDITIONAL PATIENT COMPLICATIONS WERE REPORTED IN RELATION TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 721805 | AMS THERMATRX TMX-3000 OFFICE THERMOTHERAPY | SYSTEM, HYPERTHERMIA, RF/MICROWAVE (BPH), THERMOTHERAPY | MEQ | AMERICAN MEDICAL SYSTEMS (MN) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |