MAUDE MDR 806353

MDR report key
806353
Report number
9615058-2006-00001
Event key
0
Event type
3
Date of event
2006-04-06
Date received
2007-01-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
ORI LUBIN, MANAGER
Address
5 NACHUM HETH STREET P.O. BOX 2039 TIRAT CARMEL 31290 IS
Phone
972-972-9724
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EXABLATE 2000FOCUSED ULTRASOUNDINSIGHTEC, LTD.MIKEXABLATE 2000**NNY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12007-01-0401. H; 2. R

Event Narratives#

D

Patient 1

THE PT UNDERWENT A VAGINAL MYOMECTOMY FOLLOWED BY A CURETTAGE AND WAS RELEASED HOME 23 DAYS LATER.