KIT, NEEDLE, BIOPSY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-18 for KIT, NEEDLE, BIOPSY manufactured by .

Event Text Entries

[89692130]
Patient Sequence No: 1, Text Type: N, H10


[89692131] During right partial mastectomy and right sentinal node biopsy, the tru node wand would not register with the tru node device. No patient harm. Device sent back to manufacturer for follow up.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6958691
MDR Report Key6958691
Date Received2017-10-18
Date of Report2017-09-20
Date of Event2017-08-16
Report Date2017-09-20
Date Reported to FDA2017-09-20
Date Reported to Mfgr2017-09-20
Date Added to Maude2017-10-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameKIT, NEEDLE, BIOPSY
Product CodePOZ
Date Received2017-10-18
Lot Number120716
OperatorPHYSICIAN
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2017-10-18

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