FDA Adverse Event
Malfunction
Summary report: N
EVIDENT
MDR report key: 8246052
·
Received January 14, 2019
Report
- Report Number
- 1717344-2019-00088
- Event Type
- Malfunction
- Date Received
- January 14, 2019
- Date of Event
- November 15, 2013
- Report Date
- January 14, 2019
- Manufacturer
- COVIDIEN MFG DC BOULDER
- Product Code
- NEY
- UDI-DI
- 10884524001579
- PMA / PMN Number
- K011676
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
TITLE MICROWAVE ABLATION OF LUNG TUMOURS: SINGLE-CENTRE PRELIMINARY EXPERIENCE SOURCE RADIOL MED. 119 (8) (75¿82), 2014. DATE OF PUBLICATION: 21 JUN 2013. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem · 1
ACCORDING TO THE LITERATURE SOURCE PERFORMED. AFTER BEING TREATED OF MICROWAVE (MW) ABLATION OF LUNG TUMORS ASYMPTOMATIC GRADE-1 PNEUMOTHORAX WAS RECORDED IN 9 PATIENTS (37.5 %). ONE CASE OF ASYMPTOMATIC PLEURAL EFFUSION AND ONE OF HAEMOPTYSIS, NOT REQUIRING TRANSFUSION, WERE OBSERVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 38875 | EVIDENT | SYSTEM, ABLATION, MICROWAVE AND ACCESSORIES | NEY | COVIDIEN MFG DC BOULDER | VTGEN | 10884524001579 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |