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 |