FDA Adverse Event Injury Summary report: N

TX2 TISSUE REMOVAL SYSTEM - MICROTIP

MDR report key: 7957221 · Received October 11, 2018

Report

Report Number
1000135560-2018-00052
Event Type
Injury
Date Received
October 11, 2018
Date of Event
August 2, 2018
Report Date
October 11, 2018
Manufacturer
TENEX HEALTH, INC.
Product Code
LFL
PMA / PMN Number
K153299
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

FIVE DAYS AFTER A PROCEDURE WITH THE TENEX HEALTH TX SYSTEM, A PATIENT DEVELOPED PAIN AND HEMATOMAS IN HER FEET. THE HEMATOMAS WERE TREATED WITH CORTISONE SHOTS, DRAINAGE, HEAT TREATMENT AND DRESSING. THE HEALTH CARE PROVIDER SUSPECTS THE ISSUE IS NOT RELATED TO THE TREATMENT WITH THE TENEX HEALTH TX SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
798705 TX2 TISSUE REMOVAL SYSTEM - MICROTIP INSTRUMENT, ULTRASONIC SURGICAL LFL TENEX HEALTH, INC. 554-2003-001 NI

Patients

Seq Age Sex Outcome Treatment
1 Other