FDA Adverse Event
Injury
Summary report: N
EXABLATE 4000
MDR report key: 9870842
·
Received March 24, 2020
Report
- Report Number
- 9615058-2020-00007
- Event Type
- Injury
- Date Received
- March 24, 2020
- Date of Event
- February 12, 2020
- Report Date
- March 24, 2020
- Manufacturer
- INSIGHTEC LTD
- Product Code
- POH
- PMA / PMN Number
- P150038
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
THE (B)(6) POST COULD NOT BE CONFIRMED WITH THE TREATING PHYSICIAN. NOT ENOUGH DETAILS TO LOCATE THE SITE OR THE SPECIFIC TREATMENT. NOT ENOUGH DETAILS TO INVESTIGATE.
Description of Event or Problem · 1
THIS COMPLAINT WAS POSTED ON INSIGHTEC (B)(6) PAGE. THE PATIENT STATED THAT SHE HAD BRAIN TREATMENT FOR ESSENTIAL TREMOR 2 WEEKS AGO (APPARENTLY ON (B)(6) 2020) AND SINCE THEN SHE HAS "SIGNIFICANT RIGHT SIDE WEAKNESS". BASED ON THE AVAILABLE INFORMATION, THE COMPANY HAS NOT ENOUGH DETAILS TO LOCATE THE SITE OR THE TREATING PHYSICIAN. THE COMPLAINANT RECEIVED A POST BACK THAT SHE SHOULD REACH HER TREATING PHYSICIAN OR CONTACT INSIGHTEC FORMAL WEBSITE. NO FURTHER INFORMATION WAS RECEIVED REGARDING THIS CASE SO FAR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 336107 | EXABLATE 4000 | MR GUIDED FOCUSED ULTRASOUND SYSTEM | POH | INSIGHTEC LTD | 4000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Disability |