| Brand Name | TX System - TX2 MicroTip |
| Common Device Name | Instrument, Ultrasonic Surgical |
| Manufacturer (Section D) |
| Tenex Health, Inc. |
| 26902 vista terrace |
| lake forest CA 92630 -812 |
|
| Manufacturer (Section G) |
| Tenex Health, Inc. |
| 26902 vista terrace |
|
| lake forest CA 92630 -812 |
|
| Manufacturer Contact |
|
david
vancelette
|
| 26902 vista terrace |
| lake forest, CA 92630--812
|
|
+1(949)238-8220
|
|
| MDR Report Key | 50892216 |
| Report Number | 1000135560-2026-00016 |
| Device Sequence Number | 5903716 |
| Product Code |
LFL
|
| UDI-Device Identifier | 00857156006154 |
| UDI-Public | (01)00857156006154(10)1762501(17)270625 |
| Combination Product (Y/N) | N |
| Initial Reporter State | IN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K153299 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/24/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 554-2003-001 |
| Device Catalogue Number | 554-2003-001 |
| Device Lot Number | 1762501 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/22/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/26/2026 |
| Initial Report FDA Received Date | 09/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/01/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Age | 45 YR |
| Patient Sex | Female |
| Patient Weight | 191 LB |