FDA Adverse Event Injury Summary report: N

TUMARK PROFESSIONAL

MDR report key: 16371889 · Received February 14, 2023

Report

Report Number
1000408433-2023-00001
Event Type
Injury
Date Received
February 14, 2023
Date of Event
January 6, 2023
Report Date
February 14, 2023
Manufacturer
SOMATEX MEDICAL TECHNOLOGIES GMBH
Product Code
NEU
UDI-DI
04250195600813
PMA / PMN Number
K201863
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED FOR THE REPORTED LOT NUMBER. THE DEVICE WAS RELEASED MEETING ALL QA SPECIFICATIONS. WE ARE CURRENTLY UNABLE TO ESTABLISH A RELATIONSHIP BETWEEN THE DEVICE AND THE ISSUE REPORTED. THE DEVICE INVOLVED IN THIS EVENT WAS NOT RETURNED FOR EVALUATION PURPOSES THEREFORE VISUAL AND FUNCTIONAL ANALYSIS OF THE PRODUCT COULD NOT BE PERFORMED. WE ARE UNABLE TO CONFIRM A RELATIONSHIP BETWEEN THE DEVICE AND THE ISSUE REPORTED AND A DEFINITIVE ROOT CAUSE FOR THE REPORTED EVENT COULD NOT BE DETERMINED. THE INFORMATION OBTAINED DURING COMPLAINT INVESTIGATION WILL BE INCLUDED IN OUR GLOBAL COMPLAINT TRENDING AND PRODUCT SURVEILLANCE WILL CONTINUE TO MONITOR COMPLAINTS OF THIS TYPE FOR ADVERSE TRENDS. IF THE PRODUCT IS RECEIVED OR ADDITIONAL INFORMATION IS OBTAINED, THE INVESTIGATION WILL BE REOPENED ACCORDINGLY PER STANDARD OPERATING PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT ON (B)(6) 2023, A PATIENT RECEIVED AFTER A BREAST BIOPSY A TUMARK MARKER U SHAPED AND 2 ADDITIONAL MARKERS FROM A DIFFERENT COMPANY (2 THIRD PARTY COMPANY CLIPMARKERS). ADDITIONALLY, 2 DEVICES FROM THIRD PARTY COMPANIES (NEEDLES) AND BANDAGES WERE USED ON THE PATIENT AS WELL AS LOCAL DOSE OF ANESTHETICS. AFTER THE PROCEDURE THE PATIENT DEVELOPED A GIANT URTICARIAL REACTION TO THE CHEST, ARM GROINS AND NECK FOR WHICH SHE RETURNED TO THE EMERGENCY ROOM. DUE TO THE PATIENT PERSISTING WITH AN ALLERGIC REACTION, ALL THE MARKERS WERE REMOVED 3 DAYS AFTER IMPLANTATION, THE PATIENT RECEIVED A HIGH DOSE OF ANTIHISTAMINES AND CORTICOSTEROIDS. A FEW DAYS AFTER THE REMOVAL AND DUE TO THE TREATMENT, THE PATIENT WAS DOING MUCH BETTER. NO OTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1672514 TUMARK PROFESSIONAL TUMARK PROFESSIONAL NEU SOMATEX MEDICAL TECHNOLOGIES GMBH 271560 52090 04250195600813

Patients

Seq Age Sex Outcome Treatment
1 Female Other| R