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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HISTOSONICS, INC EDISON; Focused ultrasound system for non-thermal, mechanical tissue ablation

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HISTOSONICS, INC EDISON; Focused ultrasound system for non-thermal, mechanical tissue ablation Back to Search Results
Catalog Number EDNTC1001
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Biliary Leak (4820)
Date of Event 07/01/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
No related device malfunction was identified in the abstract.Age was entered based on mean age of 61 as reported by the abstract since no additional information was known at the time of this report.This mdr will be updated if additional information becomes available.
 
Event or Problem Description
A recent abstract submission titled "early experience of histotripsy in a multidisciplinary liver cancer program" for the world transplant congress (wtc) meeting held on (b)(6) 2025 indicated that a patient had a biloma/biliary stricture which required endoscopic and percutaneous biliary intervention.No additional details were provided in the abstract, and despite multiple attempts to obtain further information, none has been received.No related device malfunction was identified in the abstract.
 
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Brand Name
EDISON
Common Device Name
Focused ultrasound system for non-thermal, mechanical tissue ablation
Manufacturer (Section D)
HISTOSONICS, INC
16305 36th avenue n
suite 300
plymouth MN 55446
Manufacturer (Section G)
HISTOSONICS, INC
16305 36th avenue n
suite 300
plymouth MN 55446
Manufacturer Contact
leeanne swiridow
16305 36th avenue n
suite 300
plymouth, MN 55446
6123510361
MDR Report Key22874493
Report Number3027664504-2025-00017
Device Sequence Number5803147
Product Code QGM
UDI-Device Identifier00850006962006
UDI-Public00850006962006
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K233466
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Literature
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 08/22/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Catalogue NumberEDNTC1001
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/25/2025
Initial Report FDA Received Date08/22/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/29/2024
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient Age61 YR
Patient SexUnknown
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