FDA Adverse Event
Injury
Summary report: N
SAVISCOUT
MDR report key: 10379308
·
Received July 31, 2020
Report
- Report Number
- 10379308
- Event Type
- Injury
- Date Received
- July 31, 2020
- Date of Event
- June 29, 2020
- Report Date
- July 29, 2020
- Manufacturer
- CIANNA MEDICAL INC.
- Product Code
- NEU
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PT UNDERWENT NEEDLE LOCALIZATION SAVI SCOUT PROCEDURE ON (B)(6) 2020. FACILITY MADE AWARE OF BURN OCCURRING ON THE PT'S LEFT BREAST, DESCRIBED AS A 3RD DEGREE BURN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 812685 | SAVISCOUT | RADAR LOCALIZER | NEU | CIANNA MEDICAL INC. | SCOUT CHECK | REF CHK-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Other| S |