MULTICARE PLATINUM 8-004-0017

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 2019-01-15 for MULTICARE PLATINUM 8-004-0017 manufactured by Hologic, Inc.

Event Text Entries

[133054874] It was reported that during a biopsy the system never alarmed letting the technologist know that the stroke margin safety had been exceeded, and the needle went through the patient breast when fired. The technologist spoke with a clinical application specialist who reviewed multiple things with her to determine what could have caused the problem. All tests done showed the unit to be working properly. A field engineer evaluated the system and completed the quality control check alone and again with the technologist and no system malfunction was found. The plastic breast tray was replaced. Additional information received from the technologist noted that the patient had a small hematoma which resolved on its own and no medical intervention was needed. The biopsy was completed successfully and there have been other successful biopsies completed without issue since this event. She noted that the system had been "lagging" that day and the target had to be sent three times to be accepted. She was unsure if this issue was occurring with other systems that day or only this system.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1220984-2019-00007
MDR Report Key8247810
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2019-01-15
Date of Report2018-12-17
Date of Event2018-12-17
Date Mfgr Received2018-12-17
Device Manufacturer Date2014-03-01
Date Added to Maude2019-01-15
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 NameMULTICARE PLATINUM
Generic NameSTEREOTACTIC BREAST BIOPSY SYSTEM
Product CodeIZH
Date Received2019-01-15
Model Number8-004-0017
Catalog Number8-004-0017
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC
Manufacturer Address36 & 37 APPLE RIDGE ROAD DANBURY CT 06810 US 06810


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-01-15

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