FDA Adverse Event Malfunction Summary report: N

SAVI SCOUT

MDR report key: 10851268 · Received November 17, 2020

Report

Report Number
10851268
Event Type
Malfunction
Date Received
November 17, 2020
Date of Event
October 27, 2020
Report Date
October 30, 2020
Manufacturer
CIANNA MEDICAL, INC.
Product Code
NEU
Product Problem
Yes
Report Source
User Facility report
Reporter Location
VA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

SCOUT HAND PIECE DID NOT WORK WHEN CONNECTED TO MACHINE. PLUGGED IN DEMO HAND PIECE TO CHECK TO SEE IF IT WAS THE HAND PIECE OR MACHINE THAT DID NOT WORK, DEMO PIECE WORKED. OPENED NEW SCOUT HAND PIECE AND GAVE TO DOCTOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1317878 SAVI SCOUT MARKER, RADIOGRAPHIC, IMPLANTABLE NEU CIANNA MEDICAL, INC. HPSU-01 H1808172

Patients

Seq Age Sex Outcome Treatment
1 24090 DA