FDA Adverse Event
Malfunction
Summary report: N
ENDOCARE CRYOCARE CRYOPROBE
MDR report key: 8122540
·
Received December 1, 2018
Report
- Report Number
- 3008262715-2018-00057
- Event Type
- Malfunction
- Date Received
- December 1, 2018
- Date of Event
- November 8, 2018
- Report Date
- November 8, 2018
- Manufacturer
- ENDOCARE INC.
- Product Code
- GEH
- PMA / PMN Number
- K153489
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
DEVICE NOT RETURNED FOR EVALUATION.
Description of Event or Problem · 1
ONE PROBE FROM A 3 PROBE CASE FROZE ALL THE WAY UP THE SHAFT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 962587 | ENDOCARE CRYOCARE CRYOPROBE | UNIT, CRYOSURGICAL, ACCESSORIES | GEH | ENDOCARE INC. | PCS-17 | 26238 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |