FDA Adverse Event Malfunction Summary report: N

GAMMA PROBE COVER

MDR report key: 1532043 · Received October 15, 2009

Report

Report Number
1532043
Event Type
Malfunction
Date Received
October 15, 2009
Date of Event
September 23, 2009
Report Date
October 14, 2009
Manufacturer
TECH MEDICAL SERVICES, INC.
Product Code
IZD
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

A NEW NAVIGATOR WAS BEING TRIALED FOR SENTINEL NODE BIOPSIES ON THIS PATIENT. WE USED THE PROBE COVER THAT WAS GIVEN TO US BY THE VENDOR. THIS COVER IS MUCH THINNER THAN THE PREVIOUS MODEL. AT THE END OF THE CASE, IT WAS DISCOVERED TO HAVE BROKEN OPEN AT ITS TIP WHICH EXPOSED THE PATIENT TO THE UNSTERILE METAL ON THE NEOPROBE IN HER RIGHT AXILLA.

Description of Event or Problem · 1

A NEW NAVIGATOR WAS BEING TRIALED FOR SENTINEL NODE BIOPSIES ON THIS PATIENT. WE USED THE PROBE COVER THAT WAS GIVEN TO US BY THE VENDOR. THIS COVER IS MUCH THINNER THAN THE PREVIOUS MODEL. AT THE END OF THE CASE, IT WAS DISCOVERED TO HAVE BROKEN OPEN AT ITS TIP WHICH EXPOSED THE PATIENT TO THE UNSTERILE METAL ON THE NEOPROBE IN HER RIGHT AXILLA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GAMMA PROBE COVER GAMMA PROBE COVER IZD TECH MEDICAL SERVICES, INC. * C1853

Patients

Seq Age Sex Outcome Treatment
1 48 YR