IRE SINGLE ELECTRODE PROBE 20400101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2010-04-07 for IRE SINGLE ELECTRODE PROBE 20400101 manufactured by Angiodynamics.

Event Text Entries

[18904660] Lot history record review: the lot number was not provided. A ship history showed that the following lots had been shipped in the last 6 months: 081106 and 080911. The complaint info was forwarded to (b)(4). (b)(4) reviewed the possible lot history records and found no variances related to this event were observed. Review of returned sample: the complaint sample was not returned for eval. Conclusion: this type of complaint is still currently under investigation. F/u report to follow. Frequency has increased, but the severity of this event is not greater than usual.
Patient Sequence No: 1, Text Type: N, H10


[19057777] Pt was treated by dr (b)(6) medical center, (b)(6) 2010. Immediately prior to irreversible electroporation treatment, pt had been voiding freely without assistance. Pt does have a history of post-surgical urinary retention after abdominal peritoneal resection. He reported to dr (b)(6) nurse that he had to do self-straight-catheterization for a period of about 2 months after apr. He eventually regained voiding independence. During the ire procedure, pt did not have an indwelling foley catheter. After procedure, he developed urinary retention. Seventy two hours post ire, pt is performing intermittent straight catheterization to drain bladder.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1319211-2010-00014
MDR Report Key1657896
Report Source05,06,07
Date Received2010-04-07
Date of Report2010-03-31
Date of Event2010-03-09
Date Mfgr Received2010-03-15
Date Added to Maude2011-02-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMARGARET MCGUIRE
Manufacturer Street603 QUEENSBURY AVE.
Manufacturer CityQUEENSBURY NY 12804
Manufacturer CountryUS
Manufacturer Postal12804
Manufacturer Phone5187981215
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIRE SINGLE ELECTRODE PROBE
Generic NameIRE SINGLE ELECTRODE PROBE
Product CodeOHJ
Date Received2010-04-07
Catalog Number20400101
Lot NumberNOT REPORTED
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerANGIODYNAMICS
Manufacturer AddressQUEENSBURY NY US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-04-07

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