BEUDAMED
    FDA Adverse Event Other Summary report: N

    TARGIS MDS

    MDR report key: 651466 · Received December 7, 2005

    Report

    Report Number
    2133936-2005-00008
    Event Type
    Other
    Date Received
    December 7, 2005
    Report Date
    December 6, 2005
    Manufacturer
    UROLOGIX, INC.
    Product Code
    MEQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    REPORTER INDICATED THAT THE PATIENT IS NOW "INCONTINENT OF URINE AND IMPOTENT." PATIENT RECEIVED A TARGIS TREATMENT IN 2004.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TARGIS MDS HYPOTHERMIA MICROWAVE/RF SYSTEM FOR BPH MEQ UROLOGIX, INC. * M001546

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Other