EXABLATE 4000 SYS940201

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-02-26 for EXABLATE 4000 SYS940201 manufactured by Insightec Ltd.

Event Text Entries

[183080790] The treatment review has not indicated any technical failures of the system. Treatment parameters were in line with typical range. The system performance was found to be according to spec and as expected. No new risk was recognized
Patient Sequence No: 1, Text Type: N, H10


[183080791] At 6 months post essential tremor treatment, on follow up visit , the patient complained of affected taste. The assumption is that the taste issue might be following the treatment and may potentially lead to permanent damage.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615058-2020-00002
MDR Report Key9754452
Report SourceHEALTH PROFESSIONAL
Date Received2020-02-26
Date of Report2020-02-26
Date of Event2019-06-06
Date Mfgr Received2020-01-27
Device Manufacturer Date2016-09-06
Date Added to Maude2020-02-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. MEITAL TRANK
Manufacturer Street5 NACHUM HETH STREET
Manufacturer CityTIRAT CARMEL, 39120
Manufacturer CountryIS
Manufacturer Postal39120
Manufacturer G1INSIGHTEC LTD
Manufacturer Street5 NACHUM HETH
Manufacturer CityTIRAT CARMEL, 39120
Manufacturer CountryIS
Manufacturer Postal Code39120
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEXABLATE 4000
Generic NameMR GUIDED FOCUSED ULTRASOUND SYSTEM
Product CodePOH
Date Received2020-02-26
Model Number4000
Catalog NumberSYS940201
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerINSIGHTEC LTD
Manufacturer Address5 NACHUM HETH STREET TIRAT CARMEL, 39120 IS 39120


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2020-02-26

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