MAUDE MDR 7537171

MDR report key
7537171
Report number
3010266937-2018-00001
Event key
0
Event type
3
Date of event
2018-05-08
Date received
2018-05-23
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. JOHN MCWILLIAMS
Address
3131 WEST ROYAL LANE SUITE 100 IRVING TX 75063 US
Phone
866-866-8669
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1THERMIRF GENERATORRADIO FREQUENCY GENERATORST. JUDE MEDICALGEITHERMIRFY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-05-2301. R

Event Narratives#

N

Patient 1

THERMIRF GENERATOR WAS EVALUATED ON MAY 22, 2018. ALL PARAMETERS WERE IN CALIBRATION AND GENERATOR TESTING FOUND NO FAILURE. THERMAL CAMERA IS ROUTE FOR EVALUATION.

D

Patient 1

PHYSICIAN CALLED STATING PATIENT EXPERIENCED 'FULL THICKNESS BURNS (3 DEGREE)' TO THE SUBMENTAL REGION OF THE NECK AFTER THE PROCEDURE ON (B)(6) 2018.