SELENIA DIMENSIONS MAMMOGRAPHY SYSTEMS, 3D SDM-00001-3D

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-01-17 for SELENIA DIMENSIONS MAMMOGRAPHY SYSTEMS, 3D SDM-00001-3D manufactured by Hologic, Inc.

Event Text Entries

[178760476] As of today the investigation is still in process and a follow up will be filed as needed.
Patient Sequence No: 1, Text Type: N, H10


[178760477] It was reported that the vta will not move vertically. A field engineer was dispatched to the site and while troubleshooting the reported issue the vta fell down the length of the lead screw. No injury reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1220984-2020-00005
MDR Report Key9603567
Report SourceUSER FACILITY
Date Received2020-01-17
Date of Report2019-12-30
Date of Event2019-12-30
Date Mfgr Received2019-12-30
Device Manufacturer Date2014-03-01
Date Added to Maude2020-01-17
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 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 NameSELENIA DIMENSIONS MAMMOGRAPHY SYSTEMS, 3D
Generic NameMAMMOGRAPHY SYSTEM
Product CodeOTE
Date Received2020-01-17
Model NumberSDM-00001-3D
Catalog NumberSDM-00001-3D
OperatorHEALTH PROFESSIONAL
Device Availability*
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 2020-01-17

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