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