MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-03-03 for SELENIA MAMMOGRAPHY SYSTEM SEL-00023 manufactured by Hologic, Inc.
[182320103]
It was reported that the system is moving without being commanded. No injury reported. A field engineer was dispatched to the site and determined the switch located behind the detector needed to be adjusted. Once this was completed the system was working as intended.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1220984-2020-00034 |
| MDR Report Key | 9781748 |
| Report Source | USER FACILITY |
| Date Received | 2020-03-03 |
| Date of Report | 2020-02-12 |
| Date of Event | 2020-02-12 |
| Date Mfgr Received | 2020-02-12 |
| Device Manufacturer Date | 2009-11-01 |
| Date Added to Maude | 2020-03-03 |
| 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 |
| 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 |
| Manufacturer Country | US |
| Manufacturer Phone | 7318491 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SELENIA MAMMOGRAPHY SYSTEM |
| Generic Name | FULL FIELD DIGITAL MAMMOGRAPHY SYSTEM |
| Product Code | MUE |
| Date Received | 2020-03-03 |
| Model Number | SEL-00023 |
| Catalog Number | SEL-00023 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| 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 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-03 |