AFFIRM PRONE BIOPSY SYSTEM, 3D ASY-10430

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2019-01-08 for AFFIRM PRONE BIOPSY SYSTEM, 3D ASY-10430 manufactured by Hologic, Inc.

Event Text Entries

[132507489] As of today, the investigation for this issue is in progress. A follow-up will be filed as needed.
Patient Sequence No: 1, Text Type: N, H10


[132507490] It was reported that when using the system drapes blood continues to get under the compression paddle. "we have blood that we are not able to clean that is around the white label on the paddle. " replacement paddles were sent to the customer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1220984-2019-00004
MDR Report Key8229374
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2019-01-08
Date of Report2018-12-10
Date of Event2018-12-06
Date Mfgr Received2019-01-22
Date Added to Maude2019-01-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKRISTIN FORNIERI
Manufacturer Street36 & 37 APPLE RIDGE ROAD
Manufacturer CityDANBURY CT 06810
Manufacturer CountryUS
Manufacturer Postal06810
Manufacturer Phone2037318491
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAFFIRM PRONE BIOPSY SYSTEM, 3D
Generic NameBREAST BIOPSY SYSTEM
Product CodeIZH
Date Received2019-01-08
Model NumberASY-10430
Catalog NumberASY-10430
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC
Manufacturer Address36 & 37 APPLE RIDGE ROAD DANBURY CT 06810 US 06810


Patients

Patient NumberTreatmentOutcomeDate
10 2019-01-08

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