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 |