THERMACHOICE III *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-06-04 for THERMACHOICE III * manufactured by Ethicon.

Event Text Entries

[2726300] Unable to get ablation machine to hold pressure during procedure. One probe had a leak in it. Case aborted. ======================manufacturer response for thermal balloon ablation system, thermachoice 2 (per site reporter). ======================manufacturer sent four kits to send the contaminated catheters back for inspection and possible credit. Catheter sales rep had been here a month ago for same issue, could be related to training.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2615948
MDR Report Key2615948
Date Received2012-06-04
Date of Report2012-06-04
Report Date2012-06-04
Date Reported to FDA2012-06-04
Date Added to Maude2012-06-14
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTHERMACHOICE III
Generic NameTHERMAL BALLOON ABLATION SYSTEM
Product CodeMKN
Date Received2012-06-04
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorPHYSICIAN
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerETHICON
Manufacturer AddressROUTE 22 WEST SOMERVILLE NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
10 2012-06-04

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