MAMMOTEST, BIOPSY TABLE MMT100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-19 for MAMMOTEST, BIOPSY TABLE MMT100 manufactured by Devicor Medical Products, Inc..

Event Text Entries

[126110370] The mammotome mammotest system is used for minimally invasive breast biopsy procedures. The system uses x-ray guidance for stereotactic localization, allows the physician to accurately place a biopsy needle for the retrieval of tissue samples in the area of concern. Devicor field service engineer evaluated the device and found the cause of the burning smell to be related to capacity on 24v power card. Excessive current draw from a short circuit; 24v to ground. It is not likely that this short circuit would have led to a fire in the device. Although there was no patient consequence, due to the remote potential of this malfunction to cause or contribute to death or serious injury as a result of a remote potential of device fire, this has been determined to be reportable pursuant to 21 cfr 803.
Patient Sequence No: 1, Text Type: N, H10


[126110371] Devicor medical products received a report from affiliate stating, the generator is heated up and smells like something is burning. This has been documented in our complaint system as record (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008492462-2018-00066
MDR Report Key7984814
Date Received2018-10-19
Date of Report2018-09-24
Date of Event2018-09-24
Date Mfgr Received2018-09-24
Date Added to Maude2018-10-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. JILL BURNETT
Manufacturer Street300 E. BUSINESS WAY
Manufacturer CityCINCINNATI OH 45241
Manufacturer CountryUS
Manufacturer Postal45241
Manufacturer Phone5138649047
Manufacturer G1DEVICOR MEDICAL PRODUCTS INC.
Manufacturer Street300 E. BUSINESS WAY
Manufacturer CityCINCINNATI OH 45241
Manufacturer CountryUS
Manufacturer Postal Code45241
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMAMMOTEST, BIOPSY TABLE
Generic NameMAMMOGRAPHY TABLE
Product CodeIZH
Date Received2018-10-19
Model NumberMMT100
Catalog NumberMMT100
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerDEVICOR MEDICAL PRODUCTS, INC.
Manufacturer Address300 E. BUSINESS WAY FIFTH FLOOR CINCINNATI OH 45241 US 45241


Patients

Patient NumberTreatmentOutcomeDate
10 2018-10-19

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