MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2019-10-02 for SELENIA DIMENSIONS MAMMOGRAPHY SYSTEM SDM-00001-2D manufactured by Hologic, Inc.
Report Number | 1220984-2019-00105 |
MDR Report Key | 9144721 |
Report Source | FOREIGN,HEALTH PROFESSIONAL,U |
Date Received | 2019-10-02 |
Date of Report | 2019-09-12 |
Date of Event | 2019-09-12 |
Date Mfgr Received | 2019-10-02 |
Device Manufacturer Date | 2011-10-01 |
Date Added to Maude | 2019-10-02 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | KRISTIN FORNIERI |
Manufacturer Street | 36 & 37 APPLE RIDGE ROAD |
Manufacturer City | DANBURY CT 06810 |
Manufacturer Country | US |
Manufacturer Postal | 06810 |
Manufacturer Phone | 2037318491 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | SELENIA DIMENSIONS MAMMOGRAPHY SYSTEM |
Generic Name | FULL FIELD DIGITAL MAMMOGRAPHY SYSTEM |
Product Code | MUE |
Date Received | 2019-10-02 |
Model Number | SDM-00001-2D |
Catalog Number | SDM-00001-2D |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | HOLOGIC, INC |
Manufacturer Address | 36 & 37 APPLE RIDGE ROAD DANBURY CT 06810 US 06810 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-10-02 |