NOVASURE ADVANCED SURESOUND NS2013KITUS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-11 for NOVASURE ADVANCED SURESOUND NS2013KITUS manufactured by Hologic, Inc..

Event Text Entries

[110648708]
Patient Sequence No: 1, Text Type: N, H10


[110648710] Novasure would not pass the cavity assessment, it kept failing. A second device was opened and functioned as expected. Manufacturer response for impedence controlled endometrial ablation disposable, novasure advanced suresound (per site reporter) : manufacturer provided rga# and product return packaging.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7586344
MDR Report Key7586344
Date Received2018-06-11
Date of Report2018-05-29
Date of Event2018-04-25
Report Date2018-05-29
Date Reported to FDA2018-05-29
Date Reported to Mfgr2018-05-29
Date Added to Maude2018-06-11
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNOVASURE ADVANCED SURESOUND
Generic NameSOUND, UTERINE
Product CodeHHM
Date Received2018-06-11
Returned To Mfg2018-05-11
Catalog NumberNS2013KITUS
Lot Number18A09RD
OperatorPHYSICIAN
Device AvailabilityR
Device Age1 DY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC.
Manufacturer Address250 CAMPUS DRIVE MARLBOROUGH MA 01752 US 01752


Patients

Patient NumberTreatmentOutcomeDate
10 2018-06-11

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