FDA Adverse Event Malfunction Summary report: N

GREENLIGHT MOXY FIBER OPTIC

MDR report key: 4863503 · Received June 23, 2015

Report

Report Number
2937094-2015-00640
Event Type
Malfunction
Date Received
June 23, 2015
Date of Event
June 5, 2015
Report Date
June 5, 2015
Manufacturer
AMERICAN MEDICAL SYSTEMS, INC. (SAN JOSE)
Product Code
GEX
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A BPH PROSTATE PROCEDURE AT 27,000 JOULES AT 80W AND 120W THE FIBER WAS LACKING POWER. IT WAS NOTED THAT THE TIP OF THE FIBER HAD BROKEN OFF INSIDE THE PATIENT. THE TIP WAS RETRIEVED AND THE FIBER EXCHANGED. AT ABOUT 200,000 JOULES AT 140W THE SECOND FIBER WAS ALSO LOSING POWER AND THE TIP OF FIBER WAS CRACKING AND BREAKING AND FINISHED AT 286,000 JOULES. THE CASE WAS COMPLETED BY AN ALTERNATIVE PROCEDURE CALLED "THE BUTTON". PATIENT OUTCOME: "OK" WAS REPORTED. THIS REPORT IS FOR THE SECOND FIBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
405306 GREENLIGHT MOXY FIBER OPTIC POWERED LASER SURGICAL INSTRUMENT GEX AMERICAN MEDICAL SYSTEMS, INC. (SAN JOSE) 0010-2400 501A

Patients

Seq Age Sex Outcome Treatment
1