FDA Adverse Event Injury Summary report: N

EXABLATE 4000

MDR report key: 9999868 · Received April 27, 2020

Report

Report Number
9615058-2020-00009
Event Type
Injury
Date Received
April 27, 2020
Report Date
June 14, 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 · 0

THERE WERE NOT ENOUGH DETAILS TO LOCATE THE SITE, THE SPECIFIC TREATMENT OR THE TREATING PHYSICIAN. NOT ENOUGH DETAILS TO INVESTIGATE.

Description of Event or Problem · 0

THIS COMPLAINT WAS POSTED ON INSIGHTEC FACEBOOK PAGE. ACCORDING TO THE POST, THE PATIENT WENT THROUGH A BRAIN TREATMENT, TO ADDRESS ESSENTIAL TREMOR. THE PATIENT REPORTED A RESOLUTION OF THE RIGHT HAND TREMOR. THE PATIENT LISTED THE FOLLOWING EFFECTS: " CAN NO LONGER PLAY THE PIANO OR WRITE LEGIBLY OR WALK STEADILY". BASED ON THE AVAILABLE INFORMATION, THE COMPANY DOES NOT HAVE ENOUGH DETAILS TO LOCATE THE SITE OR THE TREATING PHYSICIAN. THE COMPLAINANT RECEIVED A POST BACK THAT HE SHOULD REACH HIS TREATING PHYSICIAN OR CONTACT INSIGHTEC FORMAL WEBSITE. ANOTHER POST WAS RECEIVED FROM THE SAME PATEINT ADDED MORE SYMPTOMS "THE ANTERIOR THIRD OF THE TONGUE IS PARTIALLY NUMB AND TROUBLE SPEAKING CLEARLY". THE COMPANY STILL DOES NOT HAVE ENOUGH DETAILS TO LOCATE THE SITE OR THE TREATING PHYSICIAN. THE COMPLAINANT RECEIVED AGAIN POST BACK THAT HE SHOULD REACH HIS TREATING PHYSICIAN OR CONTACT INSIGHTEC FORMAL WEBSITE. NO FURTHER INFORMATION WAS RECEIVED REGARDING THIS CASE SO FAR.

Additional Manufacturer Narrative · 1

THE COMPLAINT WAS POSTED ON THE COMPANY (B)(6) PAGE. THERE WERE NOT ENOUGH DETAILS TO LOCATE THE SITE, THE SPECIFIC TREATMENT OR THE TREATING PHYSICIAN. NOT ENOUGH DETAILS TO INVESTIGATE.

Description of Event or Problem · 1

THIS COMPLAINT WAS POSTED ON INSIGHTEC (B)(6) PAGE. ACCORDING TO THE POST, THE PATIENT WENT THROUGH A BRAIN TREATMENT, TO ADDRESS ESSENTIAL TREMOR. THE PATIENT REPORTED A RESOLUTION OF THE RIGHT HAND TREMOR. THE PATIENT LISTED THE FOLLOWING EFFECTS: " CAN NO LONGER PLAY THE PIANO OR WRITE LEGIBLY OR WALK STEADILY". BASED ON THE AVAILABLE INFORMATION, THE COMPANY DOES NOT HAVE ENOUGH DETAILS TO LOCATE THE SITE OR THE TREATING PHYSICIAN. THE COMPLAINANT RECEIVED A POST BACK THAT SHE SHOULD REACH HIS 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
465203 EXABLATE 4000 MR GUIDED FOCUSED ULTRASOUND SYSTEM POH INSIGHTEC LTD 4000

Patients

Seq Age Sex Outcome Treatment
1 Disability