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 company representative,foreig report with the FDA on 2019-04-12 for MULTICARE PLATINUM 8-004-0017 manufactured by Hologic, Inc.

Event Text Entries

[141745496] It was initially reported on (b)(6) 2019 that the table was stuck in top position. No injury reported. Additional information received on 01/31/2019 noted that after moving the table down it drives up by itself. A field engineer was dispatched to the site and determined the power control board needed to be replaced. Once this was completed the system was working as intended.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1220984-2019-00036
MDR Report Key8508599
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2019-04-12
Date of Report2019-01-31
Date of Event2019-01-24
Date Mfgr Received2019-01-31
Device Manufacturer Date2010-12-01
Date Added to Maude2019-04-12
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 Received2019-04-12
Model Number8-004-0017
Catalog Number8-004-0017
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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
10 2019-04-12

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