FDA Adverse Event Other Summary report: N

TARGIS

MDR report key: 524408 · Received February 11, 2004

Report

Report Number
2133936-2004-00001
Event Type
Other
Date Received
February 11, 2004
Date of Event
January 8, 2004
Report Date
February 10, 2004
Manufacturer
UROLOGIX, INC.
Product Code
MEQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

AFTER CATHETER WAS INSERTED INTO PATIENT, URINE PORT COULD NOT BE CLEARED. CATHETER WAS REMOVED AND LOOKED LIKE IT HAD FOLDED OVER ALTHOUGH NOTHING DURING INSERTION INDICATED A PROBLEM. NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TARGIS HYPERTHERMIA MICROWAVE/RF SYSTEM MEQ UROLOGIX, INC. 410014-002 UNK

Patients

Seq Age Sex Outcome Treatment
1 *