FDA Adverse Event Other Summary report: N

LASE

MDR report key: 535281 · Received March 9, 2004

Report

Report Number
2183911-2004-00001
Event Type
Other
Date Received
March 9, 2004
Report Date
March 8, 2004
Manufacturer
CLARUS MEDICAL, LLC.
Product Code
GEX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ABOUT 2 MONTHS AGO THE PHYSICIAN PERFORMED A LASER PROCEDURE ON A PT WHO NOW HAS DEVELOPED A REGIONAL PAIN SYNDROME. THE PT DID FINE INITIALLY AND THEN DEVELOPED PAIN STARTING AT ABOUT 5 DAYS. THE PHYSICIAN THINKS THE ONSET OF THE PAIN IS ASSOCIATED WITH THE LASE PROCEDURE BUT NOT CAUSED BY A DEFECT IN THE PROCEDURE. THE PHYSICIAN REPORTED THAT THE MULTI LEVEL PROCEDURE LASTED SEVERAL HOURS, THAT HE HAD TREATED THIS SYNDROME BEFORE AND FELT COMFORTABLE THAT HE KNOW HOW TO TREAT IT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LASE ENDOSCOPIC DISCETOMY DEVICE GEX CLARUS MEDICAL, LLC. 1100-002 UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other