| 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
|
|
+1(612)351-0361
|
|
| MDR Report Key | 50847383 |
| Report Number | 3027664504-2026-00044 |
| Device Sequence Number | 18518580 |
| Product Code |
QGM
|
| UDI-Device Identifier | 00850006962006 |
| UDI-Public | 00850006962006 |
| Combination Product (Y/N) | N |
| Initial Reporter State | GA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K233466 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Study,Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/21/2026 |
| 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
|
| Device Catalogue Number | EDNTC1001 |
| 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 | 08/24/2026 |
| Initial Report FDA Received Date | 09/21/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/26/2024 |
| 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 Number | 1 |
| Outcome Attributed to Adverse Event |
Hospitalization;
Required Intervention;
|
| Patient Age | 65 YR |
| Patient Sex | Female |