MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2014-03-20 for SURESOUND SOUND12 manufactured by Hologic.
[4336291]
Note: this report pertains to the first of two hologic devices used in the same procedure. See associated medwatch, manufacturer's report number 1222780-2014-00039. It was reported that during a novasure endometrial ablation "the patient started to wake, and attempted to sit up with the [disposable] device still in her. " the patient became restless, but after several attempts by the doctor and anesthesiologist to restrain her, the patient finally was sedated. "the doctor chose to remove the device and view the cavity where she noted bubbling in the patients left cornea and peritoneal fluid accumulating. The doctor decided to abort the procedure, and believes that when the patient attempted to sit up the uterus was perforated. There was no bleeding at the site where the perforation was, and no treatment given. The patient was not hospitalized. " the patient was discharged home one hour after the procedure.
Patient Sequence No: 1, Text Type: D, B5
[11606978]
Lot number of the suresound not provided by the complainant, therefore the expiration date is not known. The suresound is not being returned; therefore, a failure analysis of the complaint device can not be completed. Lot number of the suresound not provided by the complainant, therefore the manufacture date is not known. Device history record (dhr) review could not be conducted for the suresound as a lot number was not provided by the complainant. (b)(4).
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1222780-2014-00040 |
| MDR Report Key | 3698625 |
| Report Source | 05,06,07 |
| Date Received | 2014-03-20 |
| Date of Report | 2014-02-19 |
| Date of Event | 2014-02-19 |
| Date Facility Aware | 2014-02-19 |
| Date Mfgr Received | 2014-02-19 |
| Date Added to Maude | 2014-03-26 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | CRAIG CALLAHAN, MANAGER |
| Manufacturer Street | 250 CAMPUS DRIVE |
| Manufacturer City | MARLBOROUGH MA 01752 |
| Manufacturer Country | US |
| Manufacturer Postal | 01752 |
| Manufacturer Phone | 5082638859 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SURESOUND |
| Product Code | HHM |
| Date Received | 2014-03-20 |
| Model Number | NA |
| Catalog Number | SOUND12 |
| Lot Number | UNK |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | NA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | HOLOGIC |
| Manufacturer Address | MARLBOROUGH MA US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2014-03-20 |