FDA Adverse Event Injury Summary report: N

DEKA SMARTXIDE2 LASER

MDR report key: 7121207 · Received December 15, 2017

Report

Report Number
1222993-2017-00050
Event Type
Injury
Date Received
December 15, 2017
Date of Event
August 23, 2017
Report Date
December 15, 2017
Manufacturer
EL. EN. ELECTRONIC ENGINEERING SPA
Product Code
GEX
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MD, US
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 0

PER NOTIFICATION BY FDA REPORT MW5083896, ADDITIONAL DETAILS WERE MADE AVAILABLE REGARDING THE PATIENT WHO HAD MEDICAL INTERVENTION. THE PATIENT, WHO IS SEEKING MEDICAL CARE FROM A UROLOGIST, NOW CLAIMS OF NERVE DAMAGE IN THE LASER TREATED AREA. THE TREATMENT CARE FOR THE PATIENT'S CONDITION INCLUDED A COMBINATION OF PRESCRIPTION AND OTC MEDICATIONS FOR PAIN MANAGEMENT (PAIN MEDICATIONS, OTC MEDICATION/VITAMINS, MEDICAL MARIJUANA), AND A NERVE BLOCK INJECTION BY THE UROLOGIST.

Description of Event or Problem · 0

PATIENT HAD SIGNIFICANT DISCOMFORT/BURNING SENSATION IN THE URETHRA AREA FOLLOWING A LASER PROCEDURE.

Additional Manufacturer Narrative · 1

PATIENT IN THIS INCIDENT HAD MEDICAL INTERVENTION FROM 2 UROLOGISTS FOLLOWING A FOURTH LASER PROCEDURE WITH THE DEVICE. PATIENT HAD EXPRESSED A BENEFICIAL/POSITIVE EXPERIENCE FROM PREVIOUS TREATMENTS. THE CUSTOMER SITE'S DOCTOR DID INDICATE THE PATIENT HAS A HISTORY OF CYSTITIS, LONG STANDING URETHRAL PAIN PRIOR TO THE LASER PROCEDURES, WAS ON NUMEROUS MEDICATIONS FOR +25 YEARS, AND WAS LOOKING FOR ALTERNATIVE URETHRA PAIN MANAGEMENT TREATMENTS. HOWEVER THE PATIENT DECLINED TO FOLLOW UP WITH THE CUSTOMER SITE, SO THERE IS NO ADDITIONAL INFORMATION REGARDING THE TREATMENT FROM THIS EVENT. THE DEVICE WAS EVALUATED AND OPERATED AS INTENDED WITHIN SPECIFICATION. THIS EVENT IS REPORTABLE BECAUSE THE PATIENT HAD MEDICAL INTERVENTION.

Description of Event or Problem · 1

PATIENT HAD SIGNIFICANT DISCOMFORT/BURNING SENSATION IN THE URETHRA AREA FOLLOWING A LASER PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
901130 DEKA SMARTXIDE2 LASER DEKA SMARTXIDE2 LASER GEX EL. EN. ELECTRONIC ENGINEERING SPA

Patients

Seq Age Sex Outcome Treatment
1 Other